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General NPI Number Information
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NPI Number | 1891853305
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Entity Type | Organization
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Legal Business Name | LORIAN HOME SYSTEMS, INC. OF LAS VEGAS
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 6325 S. RAINBOW BLVD SUITE 120
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City | LAS VEGAS
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State | NV
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Zip | 89118
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Country | US
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Telephone | 702-220-9535
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Fax | 702-220-9536
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Provider Business Mailing Address
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Address Line | 9325 SKY PARK COURT SUITE 310
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City | SAN DIEGO
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State | CA
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Zip | 92123
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Country | US
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Telephone | 619-280-8184
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Fax | 619-795-1870
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AGUSTIN AHUMADA
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Credential |
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Telephone | 619-280-8184
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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 | 3453HHA-7
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License Number State | NV
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