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General NPI Number Information
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NPI Number | 1417496217
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Entity Type | Organization
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Legal Business Name | PERSONAL CARE SOLUTIONS
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 2113 ISLAND DREAMS AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0959
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Country | US
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Telephone | 702-373-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 W LAKE MEAD BLVD SUITE 9-126
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City | LAS VEGAS
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State | NV
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Zip | 89128-0297
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Country | US
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Telephone | 702-373-3763
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Fax |
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Authorized Official
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Title or Position | MANAGER/ADMINISTRATOR
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Name | MS. SAMANTHA BISTEL
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Credential |
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Telephone | 702-373-3763
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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 | 20161656814
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License Number State | NV
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