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General NPI Number Information
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NPI Number | 1356874713
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Entity Type | Organization
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Legal Business Name | A8A PERSONAL CARE SOLUTION LLC
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 8879 WEST FLAMINGO STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147
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Country | US
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Telephone | 702-701-9951
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Fax | 702-701-9352
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Provider Business Mailing Address
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Address Line | 8879 WEST FLAMINGO STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147
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Country | US
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Telephone | 702-701-9951
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Fax | 702-701-9352
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Authorized Official
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Title or Position | MARKETING DIREXTOR
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Name | MR. ALEX D LOPEZ
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Credential |
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Telephone | 702-290-8796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2002614-062-101
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License Number State | NV
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