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General NPI Number Information
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NPI Number | 1053342717
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Entity Type | Organization
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Legal Business Name | AGK SOUTHWEST, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5055 E BROADWAY BLVD SUITE D-104
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City | TUCSON
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State | AZ
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Zip | 85711-3640
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Country | US
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Telephone | 520-747-1800
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Fax | 520-747-0138
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Provider Business Mailing Address
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Address Line | 8125 N 23RD AVE SUITE 221
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City | PHOENIX
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State | AZ
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Zip | 85021-4909
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Country | US
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Telephone | 602-443-0111
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Fax | 602-443-0110
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Authorized Official
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Title or Position | CEO
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Name | DEVIN JAY RINGLING
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Credential |
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Telephone | 719-632-9900
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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 | HHA 018
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License Number State | AZ
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