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General NPI Number Information
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NPI Number | 1740696285
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Entity Type | Organization
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Legal Business Name | LE'HOST, LLC
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Dates
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Enumeration Date | 07/04/2014
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 1807 W CRAIG RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-0217
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Country | US
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Telephone | 248-990-2480
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Fax | 248-547-2440
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Provider Business Mailing Address
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Address Line | 595 E BROOKS AVE STE 313
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-3975
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Country | US
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Telephone | 702-272-2824
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. HENRY ADRIAN JOHNSON
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Credential |
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Telephone | 248-396-8472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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