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General NPI Number Information
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NPI Number | 1629365515
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Entity Type | Organization
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Legal Business Name | FWT HEALTHCARE AND PROFESSIONAL SERVICES, LLC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 340 E WARM SPRINGS RD SUITE15B
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City | LAS VEGAS
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State | NV
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Zip | 89119-4257
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Country | US
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Telephone | 702-560-0743
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Fax | 206-339-7957
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Provider Business Mailing Address
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Address Line | 340 E WARM SPRINGS RD SUITE15B
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City | LAS VEGAS
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State | NV
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Zip | 89119-4257
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Country | US
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Telephone | 702-560-0743
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Fax | 206-339-7957
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Authorized Official
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Title or Position | OWNER MANAGING MEMBER
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Name | MR. RAMON TORRES JR.
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Credential | RN
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Telephone | 702-560-0743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NV
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