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General NPI Number Information
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NPI Number | 1982561783
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Entity Type | Organization
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Legal Business Name | PANDA CARE NEVADA SUB LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2300 W SAHARA AVE STE 800
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City | LAS VEGAS
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State | NV
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Zip | 89102-4397
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Country | US
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Telephone | 313-488-2349
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 E 12TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-4669
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAIM TOLEDANO
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Credential |
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Telephone | 917-565-1260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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