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General NPI Number Information
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NPI Number | 1710726575
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Entity Type | Organization
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Legal Business Name | ALIANTE MEMORY CARE LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 923 JASON ALEXANDER AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0792
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Country | US
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Telephone | 702-336-1248
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Fax | 725-205-0804
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Provider Business Mailing Address
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Address Line | 923 JASON ALEXANDER AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0792
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Country | US
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Telephone | 702-336-1248
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Fax | 725-205-0804
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BIAR KUEK
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Credential |
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Telephone | 702-336-1248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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