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General NPI Number Information
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NPI Number | 1750294534
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Entity Type | Organization
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Legal Business Name | DIAZ LEGACY GROUP LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1609 BLUE MOUNTAIN DR
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City | LAS VEGAS
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State | NV
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Zip | 89108-2401
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Country | US
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Telephone | 702-721-3826
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 BLUE MOUNTAIN DR
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City | LAS VEGAS
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State | NV
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Zip | 89108-2401
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Country | US
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Telephone | 702-721-3826
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NELMIS DIAZ
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Credential |
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Telephone | 702-721-3826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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