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General NPI Number Information
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NPI Number | 1427403310
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Entity Type | Organization
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Legal Business Name | TIME FOR LIFE HOME CARE
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 6032 TERSKY CT
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City | LAS VEGAS
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State | NV
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Zip | 89122-3443
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Country | US
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Telephone | 702-601-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 6032 TERSKY CT
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City | LAS VEGAS
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State | NV
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Zip | 89122-3443
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Country | US
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Telephone | 702-601-9381
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. THIERRY DIEZ
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Credential |
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Telephone | 702-601-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | E0161612016-9
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License Number State | NV
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