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General NPI Number Information
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NPI Number | 1528011707
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 2721 E RUSSELL RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-2426
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Country | US
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Telephone | 702-933-1936
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Fax | 702-946-6670
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Provider Business Mailing Address
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Address Line | 2721 E RUSSELL RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-2426
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Country | US
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Telephone | 702-933-1936
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Fax | 702-946-6670
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. ISABEL TCRUZ
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Credential |
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Telephone | 702-933-1936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 253334
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License Number State | NV
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