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General NPI Number Information
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NPI Number | 1851994560
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Entity Type | Organization
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Legal Business Name | PRECIOUS HEARTS HEALTH CARE PROVIDERS, LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 6671 LAS VEGAS BLVD S UNIT 210
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City | LAS VEGAS
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State | NV
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Zip | 89119-3289
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Country | US
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Telephone | 702-473-5897
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Fax | 702-463-3137
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Provider Business Mailing Address
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Address Line | 6671 LAS VEGAS BLVD S UNIT 210
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City | LAS VEGAS
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State | NV
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Zip | 89119-3289
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Country | US
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Telephone | 702-473-5897
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Fax | 702-463-3173
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAUL GOMEZ
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Credential |
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Telephone | 702-473-5897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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