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General NPI Number Information
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NPI Number | 1609348861
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Entity Type | Organization
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Legal Business Name | FAITH VISION INC
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 2323 PALOMINO LN
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City | LAS VEGAS
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State | NV
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Zip | 89107-4503
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Country | US
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Telephone | 702-205-3417
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W VAN BUREN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89106-3043
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Country | US
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Telephone | 702-205-3417
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER JONES III
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Credential |
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Telephone | 702-205-3417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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