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General NPI Number Information
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NPI Number | 1356829519
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Entity Type | Organization
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Legal Business Name | CIELO VISTA SENIOR DAY CARE LLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 3468 E SAHARA AVE STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89104-4827
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Country | US
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Telephone | 702-431-2900
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Fax | 702-432-0036
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Provider Business Mailing Address
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Address Line | 3468 E SAHARA AVE STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89104-4827
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Country | US
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Telephone | 702-431-2900
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Fax | 702-432-0036
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARNALDO FERRER DE LA CRUZ
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Credential |
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Telephone | 702-496-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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