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General NPI Number Information
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NPI Number | 1619478799
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Entity Type | Individual
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Provider Name | ALBERTO MORALES
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Gender | Male
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 5020 ALTA DR STE B
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City | LAS VEGAS
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State | NV
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Zip | 89107-3940
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Country | US
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Telephone | 702-685-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 S EASTERN AVE STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89119-0854
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Country | US
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Telephone | 702-685-3418
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 841764
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License Number State | NV
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