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General NPI Number Information
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NPI Number | 1811786767
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Entity Type | Organization
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Legal Business Name | CASA DE SALUD HOUSE OF HEALTH LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1155 W 4TH ST STE 213
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City | RENO
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State | NV
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Zip | 89503-5149
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Country | US
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Telephone | 775-535-6607
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Fax | 775-204-9774
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Provider Business Mailing Address
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Address Line | 1155 W 4TH ST STE 213
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City | RENO
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State | NV
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Zip | 89503-5149
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Country | US
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Telephone | 775-535-6607
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Fax | 775-204-9774
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Authorized Official
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Title or Position | APRN/OWNER
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Name | MRS. ELSIE MARIE JIMENEZ
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Credential | APRN
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Telephone | 775-343-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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