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General NPI Number Information
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NPI Number | 1043036122
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH AGENCY
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Dates
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Enumeration Date | 11/23/2024
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 1846 E INNOVATION PARK DR
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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Country | US
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Telephone | 334-476-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 111 LEE ROAD 802 UNIT 122
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City | VALLEY
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State | AL
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Zip | 36854-6654
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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 | CFO
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Name | AMY SEAMANS
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Credential |
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Telephone | 334-476-5407
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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 |
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License Number State |
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