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General NPI Number Information
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NPI Number | 1407090442
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Entity Type | Organization
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Legal Business Name | TARGET GROUP, INC.
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 2881 BUSINESS PARK CT SUITE 226
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City | LAS VEGAS
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State | NV
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Zip | 89128-9018
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Country | US
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Telephone | 702-385-1000
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Fax | 702-452-1001
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Provider Business Mailing Address
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Address Line | 2881 BUSINESS PARK CT SUITE 226
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City | LAS VEGAS
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State | NV
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Zip | 89128-9018
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Country | US
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Telephone | 702-385-1000
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Fax | 702-452-1001
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Authorized Official
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Title or Position | OWNER
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Name | MR. GINO D CATALLI
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Credential |
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Telephone | 702-385-1000
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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 | 1001863380
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License Number State | NV
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