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General NPI Number Information
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NPI Number | 1811269079
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Entity Type | Organization
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Legal Business Name | NEVADA'S CHOICE PCA, INC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 8695 S EASTERN AVE SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89123-2839
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Country | US
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Telephone | 702-529-1010
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Fax | 702-319-4604
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Provider Business Mailing Address
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Address Line | 8695 S EASTERN AVE SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89123-2839
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Country | US
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Telephone | 702-529-1010
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Fax | 702-319-4604
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PARIS S BAYARDO
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Credential |
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Telephone | 702-630-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NV
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