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General NPI Number Information
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NPI Number | 1023682481
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Entity Type | Individual
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Provider Name | GAFARY IBANEZ VALERA CAREGIVER, DA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 8902 W ROMA AVE
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City | PHOENIX
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State | AZ
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Zip | 85037-1735
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Country | US
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Telephone | 480-238-1223
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Fax |
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Provider Business Mailing Address
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Address Line | 8902 W ROMA AVE
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City | PHOENIX
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State | AZ
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Zip | 85037-1735
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Country | US
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Telephone | 480-238-1223
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 288065
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License Number State | AZ
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