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General NPI Number Information
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NPI Number | 1518241256
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Entity Type | Organization
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Legal Business Name | INNOVATIONS IN HOME CARE, LLC
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 340 E WARM SPRINGS RD SUITE 1B
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City | LAS VEGAS
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State | NV
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Zip | 89119-4257
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Country | US
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Telephone | 702-606-9356
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Fax | 702-823-1494
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Provider Business Mailing Address
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Address Line | 774 MARANELLO ST
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City | HENDERSON
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State | NV
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Zip | 89052-5776
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Country | US
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Telephone | 702-686-4551
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Fax | 702-823-1494
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. LAURIE SLINGERLAND
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Credential |
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Telephone | 702-686-4551
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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 |
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License Number State |
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