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General NPI Number Information
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NPI Number | 1588115844
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Entity Type | Organization
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Legal Business Name | EMERALD HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 3401 SIRIUS AVE UNIT #1
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City | LAS VEGAS
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State | NV
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Zip | 89102-7724
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Country | US
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Telephone | 702-483-5155
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Fax | 702-483-3150
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Provider Business Mailing Address
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Address Line | 3401 SIRIUS AVE UNIT #1
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City | LAS VEGAS
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State | NV
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Zip | 89102-7724
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Country | US
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Telephone | 702-483-5155
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Fax | 702-483-3150
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MR. GILBERT B GABAT
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Credential |
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Telephone | 702-498-3854
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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 | 8580-HHA-0
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License Number State | NV
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