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General NPI Number Information
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NPI Number | 1629565411
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Entity Type | Organization
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Legal Business Name | DIDC INC.
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2001 S JONES BLVD STE J
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City | LAS VEGAS
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State | NV
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Zip | 89146-3165
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Country | US
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Telephone | 702-562-2273
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Fax | 702-227-8351
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Provider Business Mailing Address
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Address Line | 2001 S JONES BLVD STE J
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City | LAS VEGAS
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State | NV
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Zip | 89146-3165
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Country | US
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Telephone | 702-562-2273
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Fax | 702-227-8351
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Authorized Official
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Title or Position | COO
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Name | EDGAR JIMENEZ
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Credential |
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Telephone | 702-802-1513
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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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