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General NPI Number Information
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NPI Number | 1578053047
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Entity Type | Organization
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Legal Business Name | 702 HOME HEALTH INC.
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2801 S VALLEY VIEW BLVD STE 4 RM 3
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City | LAS VEGAS
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State | NV
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Zip | 89102-0116
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Country | US
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Telephone | 702-354-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 8534 BENIDORM AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-4806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MICHELLE LIM-BARGO
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Credential |
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Telephone | 702-354-5478
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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 | 8595-HHA-0
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License Number State | NV
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