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General NPI Number Information
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NPI Number | 1326084260
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF NEVADA, INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 5506 S FORT APACHE RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-7672
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Country | US
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Telephone | 702-369-5533
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Fax | 702-242-4769
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Provider Business Mailing Address
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Address Line | 5506 S FORT APACHE RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-7672
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Country | US
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Telephone | 702-369-5533
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Fax | 702-242-4769
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIM FEW
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Credential |
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Telephone | 702-369-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 564HHA15
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License Number State | NV
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