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General NPI Number Information
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NPI Number | 1407227515
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Entity Type | Organization
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Legal Business Name | ROSES PLACE HOME CARE
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 9421 MOON SPLASH CT
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City | LAS VEGAS
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State | NV
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Zip | 89129-7890
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Country | US
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Telephone | 702-506-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 9421 MOON SPLASH CT
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City | LAS VEGAS
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State | NV
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Zip | 89129-7890
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NATHAN PINKNEY
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Credential |
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Telephone | 702-506-8918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 8100PCS-0
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License Number State | NV
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