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General NPI Number Information
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NPI Number | 1043460298
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Entity Type | Organization
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Legal Business Name | PATRICIA GARRETT
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 3140 S TOBIN CIR
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City | MESA
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State | AZ
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Zip | 85212-1888
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Country | US
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Telephone | 480-907-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 3140 S TOBIN CIR
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City | MESA
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State | AZ
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Zip | 85212-1888
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Country | US
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Telephone | 480-907-5207
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Fax |
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Authorized Official
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Title or Position | SPONSOR
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Name | PATRICIA ANN GARRETT
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Credential |
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Telephone | 480-907-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | BH3123
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License Number State | AZ
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