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General NPI Number Information
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NPI Number | 1598310385
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARE NEVADA LLC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 10155 W TWAIN AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89147-6723
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Country | US
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Telephone | 801-458-0494
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Fax |
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Provider Business Mailing Address
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Address Line | 10155 W TWAIN AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89147-6723
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Country | US
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Telephone | 702-883-3850
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TODD NEWMAN
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Credential |
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Telephone | 702-883-3850
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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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