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General NPI Number Information
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NPI Number | 1851890347
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Entity Type | Individual
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Provider Name | LEILA GABO
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Gender | Female
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 550 W PIONEER BLVD STE 204
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City | MESQUITE
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State | NV
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Zip | 89027-1406
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Country | US
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Telephone | 702-345-4065
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Fax | 702-345-4077
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Provider Business Mailing Address
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Address Line | 100 N GRAPEVINE RD APT 8Q
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City | MESQUITE
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State | NV
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Zip | 89027-5113
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Country | US
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Telephone | 702-333-5885
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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