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General NPI Number Information
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NPI Number | 1477136257
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE ADULT DAY HEALTH CARE LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 240 S. DECATUR BLVD. SUITE 115
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City | LAS VEGAS
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State | NV
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Zip | 89107
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Country | US
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Telephone | 702-463-6500
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Fax | 702-463-6498
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Provider Business Mailing Address
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Address Line | 240 S. DECATUR BLVD. SUITE 115
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City | LAS VEGAS
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State | NV
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Zip | 89107
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Country | US
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Telephone | 702-463-6500
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Fax | 702-463-6498
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | ROSALITA C JURANI
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Credential | M.D.
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Telephone | 402-499-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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