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General NPI Number Information
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NPI Number | 1902447097
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Entity Type | Organization
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Legal Business Name | CEECEE CORPORATION
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 1250 BURNHAM AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-1921
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Country | US
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Telephone | 702-630-7351
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Fax |
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Provider Business Mailing Address
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Address Line | 5424 TALMO ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-3505
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Country | US
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Telephone | 702-630-7351
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | COURAGE-CYNTHIA UGBODU
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Credential |
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Telephone | 702-630-7351
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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 |
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License Number State |
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