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General NPI Number Information
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NPI Number | 1619349271
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Entity Type | Organization
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Legal Business Name | HOSPITALITY OUSEKEEPING LLC
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 2697 AARONDAVID DR APT B
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City | LAS VEGAS
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State | NV
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Zip | 89121-7606
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Country | US
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Telephone | 702-334-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 2697 AARONDAVID DR APT B
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City | LAS VEGAS
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State | NV
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Zip | 89121-7606
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Country | US
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Telephone | 702-334-8030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE ELIZABETH BENGUCHE
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Credential | CARE GIVER
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Telephone | 702-334-8030
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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 | G636404
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License Number State | NV
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