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General NPI Number Information
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NPI Number | 1881918043
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Entity Type | Organization
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Legal Business Name | PRIME CHOICE HOME HEALTH, LLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 7720 W SAHARA AVE SUITE 106
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City | LAS VEGAS
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State | NV
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Zip | 89117-2799
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Country | US
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Telephone | 702-476-9993
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Fax | 702-489-3496
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Provider Business Mailing Address
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Address Line | 7720 W SAHARA AVE SUITE 106
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City | LAS VEGAS
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State | NV
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Zip | 89117-2799
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Country | US
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Telephone | 702-476-9993
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Fax | 702-489-3496
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ESTRELLA C REMIGIO
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Credential | RN
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Telephone | 702-476-9993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NV20101100390
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License Number State | NV
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