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General NPI Number Information
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NPI Number | 1922583897
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Entity Type | Organization
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Legal Business Name | FLORENCE SENIOR CARE HOME
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 2338 FLORENCE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89119-7713
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Country | US
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Telephone | 702-808-6281
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Fax | 702-798-0711
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Provider Business Mailing Address
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Address Line | 2338 FLORENCE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89119-7713
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Country | US
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Telephone | 702-808-6281
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Fax | 702-798-0711
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Authorized Official
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Title or Position | OWNER
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Name | CONCHITA PASCUAL
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Credential |
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Telephone | 702-808-6281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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