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General NPI Number Information
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NPI Number | 1720262793
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Entity Type | Organization
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Legal Business Name | UNITED HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 2770 S MARYLAND PKWY SUITE 204
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City | LAS VEGAS
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State | NV
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Zip | 89109
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Country | US
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Telephone | 702-880-9006
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Fax | 702-880-9004
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Provider Business Mailing Address
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Address Line | 2770 S MARYLAND PKWY SUITE 204
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City | LAS VEGAS
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State | NV
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Zip | 89109
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Country | US
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Telephone | 702-880-9006
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Fax | 702-880-9004
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Authorized Official
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Title or Position | SHAREHOLDER MANAGER
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Name | MR. EDGAR MIKIRTIJYAN
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Credential |
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Telephone | 702-880-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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