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General NPI Number Information
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NPI Number | 1619052107
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Entity Type | Organization
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Legal Business Name | DIRECT HEALTHCARE
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 5309 SULTAN ST
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City | LAS VEGAS
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State | NM
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Zip | 87701-8902
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Country | US
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Telephone | 505-425-7471
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Fax | 505-425-6477
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Provider Business Mailing Address
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Address Line | 5309 SULTAN ST
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City | LAS VEGAS
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State | NM
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Zip | 87701-8902
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Country | US
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Telephone | 505-425-7471
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Fax | 505-454-9741
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANNY DOWNS
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Credential |
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Telephone | 505-425-7471
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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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