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General NPI Number Information
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NPI Number | 1548622376
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Entity Type | Organization
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Legal Business Name | PEOPLE'S CARE NEVADA INC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 7312 W CHEYENNE AVE STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89129-7428
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Country | US
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Telephone | 702-960-0018
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Fax | 702-522-6077
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Provider Business Mailing Address
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Address Line | 13920 CITY CENTER DR SUITE 290
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City | CHINO HILLS
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State | CA
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Zip | 91709-5432
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Country | US
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Telephone | 909-287-3557
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. MICHAEL KAISER
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Credential | RN
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Telephone | 909-287-3557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | G62-09975
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License Number State | NV
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