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General NPI Number Information
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NPI Number | 1912389859
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Entity Type | Organization
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Legal Business Name | LOVING CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 2700 E SUNSET RD STE 13B
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City | LAS VEGAS
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State | NV
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Zip | 89120-3508
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Country | US
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Telephone | 702-787-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 E SUNSET RD STE 13B
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City | LAS VEGAS
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State | NV
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Zip | 89120-3508
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Country | US
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Telephone | 702-787-8762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTY MARIE CARROLL
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Credential |
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Telephone | 702-787-8762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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