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NPI Code Detail

MEDICARE: AFSANEH TALEBNEJAD

MEDICARE: AFSANEH TALEBNEJAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1417450735
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFSANEH TALEBNEJAD
Provider Business Mailing Address
First Line : 4850 W FLAMINGO RD STE 25AB
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3705
Country : US
Telephone Number : 702-871-9917
Fax Number : 702-871-9918
Provider Business Practice Location Address
First Line : 4850 W FLAMINGO RD STE 25AB
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3705
Country : US
Telephone Number : 702-871-9917
Fax Number : 702-871-9918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/13/2018

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1790335883 — ASMAYT DEBRETSION
Practice Location Address:
4850 W FLAMINGO RD
LAS VEGAS, NV
89103-3705
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Practice Fax:

Directions to “ AFSANEH TALEBNEJAD ” Practice Location

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