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General NPI Number Information
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NPI Number | 1356544084
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Entity Type | Individual
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Provider Name | SHAVON MARIE HILL
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 6630 S VAN NESS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-1650
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Country | US
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Telephone | 323-565-2043
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Fax | 323-565-2044
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Provider Business Mailing Address
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Address Line | 2860 E FLAMINGO RD STE C
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City | LAS VEGAS
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State | NV
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Zip | 89121-5270
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Country | US
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Telephone | 323-921-7570
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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