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General NPI Number Information
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NPI Number | 1699689703
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Entity Type | Organization
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Legal Business Name | NOT BY CHOICE
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3110 POLARIS AVE STE 23
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City | LAS VEGAS
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State | NV
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Zip | 89102-8359
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Country | US
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Telephone | 725-910-5977
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Fax | 702-359-0041
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Provider Business Mailing Address
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Address Line | 3110 POLARIS AVE STE 39
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City | LAS VEGAS
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State | NV
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Zip | 89102-8360
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Country | US
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Telephone | 725-910-5977
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Fax | 702-359-0041
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS EBONY AKEEYA DANFORD
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Credential |
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Telephone | 702-728-6074
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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 | NULL
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