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General NPI Number Information
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NPI Number | 1770353328
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Entity Type | Organization
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Legal Business Name | UNIMED HOME HEALTH LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 6272 SPRING MOUNTAIN RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89146-8876
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Country | US
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Telephone | 702-769-8833
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Fax | 702-748-8326
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Provider Business Mailing Address
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Address Line | 6272 SPRING MOUNTAIN RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89146-8876
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Country | US
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Telephone | 702-769-8833
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Fax | 702-748-8326
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSCAR JAY BUSTAMANTE
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Credential |
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Telephone | 702-722-7609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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