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General NPI Number Information
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NPI Number | 1871459297
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Entity Type | Organization
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Legal Business Name | THE RE-HABIT WELLNESS CASTLE
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 621 S 10TH ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-7027
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Country | US
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Telephone | 725-577-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S 10TH ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-7027
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Country | US
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Telephone | 725-577-2233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDRINA MARIE VASQUEZ-SANCHEZ
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Credential | MHA, BHA, AST
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Telephone | 702-376-6547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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