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General NPI Number Information
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NPI Number | 1336870039
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Entity Type | Organization
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Legal Business Name | PHHC OF NEVADA LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 3161 E WARM SPRINGS RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-3144
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Country | US
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Telephone | 702-476-9684
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Fax | 702-476-9698
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Provider Business Mailing Address
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Address Line | 3087 E WARM SPRINGS RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-3754
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Country | US
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Telephone | 702-476-9684
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Fax | 702-476-9698
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | MIRIAM GOEBEL
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Credential |
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Telephone | 702-526-7482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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