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General NPI Number Information
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NPI Number | 1063840114
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Entity Type | Organization
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Legal Business Name | ACCORD MEDICAL RENTALS, LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 5658 HIGHWAY 260 STE 9
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City | LAKESIDE
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State | AZ
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Zip | 85929-5189
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Country | US
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Telephone | 928-271-8013
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Fax | 928-466-4043
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Provider Business Mailing Address
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Address Line | 5658 HIGHWAY 260 STE 9
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City | LAKESIDE
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State | AZ
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Zip | 85929-5189
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Country | US
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Telephone | 928-271-8013
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Fax | 928-466-4043
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Authorized Official
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Title or Position | COO
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Name | DIEDRA RAE KEARNEY
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Credential |
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Telephone | 801-920-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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