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General NPI Number Information
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NPI Number | 1982106480
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Entity Type | Organization
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Legal Business Name | A STARLIGHT PERSONAL CARE, LLC
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 2801 S VALLEY VIEW BLVD STE 11
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City | LAS VEGAS
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State | NV
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Zip | 89102-0176
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Country | US
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Telephone | 702-202-0978
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Fax | 702-202-4882
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Provider Business Mailing Address
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Address Line | 2801 S VALLEY VIEW BLVD STE 11
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City | LAS VEGAS
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State | NV
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Zip | 89102-0176
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Country | US
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Telephone | 702-202-0978
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Fax | 702-202-4882
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Authorized Official
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Title or Position | OWNER
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Name | SERZH ARAKELYAN
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Credential |
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Telephone | 702-202-0978
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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 | NV20171685973
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License Number State | NV
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