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General NPI Number Information
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NPI Number | 1801974340
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 102 E LAKE MEAD PKWY THIRD FLOOR
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City | HENDERSON
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State | NV
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Zip | 89015
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Country | US
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Telephone | 702-856-0633
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Fax | 702-856-0253
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Provider Business Mailing Address
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Address Line | 102 E LAKE MEAD PKWY THIRD FLOOR
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City | HENDERSON
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State | NV
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Zip | 89015-5575
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Country | US
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Telephone | 702-856-0633
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Fax | 702-856-0253
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MR. TERRANCE K. DILLON
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Credential |
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Telephone | 502-596-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 4131HOS-0
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License Number State | NV
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