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General NPI Number Information
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NPI Number | 1679968671
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Entity Type | Organization
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Legal Business Name | PRILEO HOME CARE TX LLC
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 18601 LBJ FWY STE 420
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City | MESQUITE
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State | TX
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Zip | 75150-6439
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Country | US
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Telephone | 214-570-7655
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Fax | 214-570-7654
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Provider Business Mailing Address
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Address Line | 8883 W FLAMINGO RD STE 103
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City | LAS VEGAS
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State | NV
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Zip | 89147-8734
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Country | US
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Telephone | 702-209-2306
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Fax | 702-209-3539
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Authorized Official
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Title or Position | CEO/ EXECUTIVE DIRECTOR
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Name | DR. CAROLIN LEONG
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Credential |
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Telephone | 480-235-8582
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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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