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General NPI Number Information
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NPI Number | 1063965135
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Entity Type | Organization
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Legal Business Name | MABUHAY HEALTHCARE LLC
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 8400 S KYRENE RD SUITE 222
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City | TEMPE
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State | AZ
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Zip | 85284-2100
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Country | US
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Telephone | 480-436-7227
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Fax | 480-436-7372
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Provider Business Mailing Address
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Address Line | 8400 S KYRENE RD SUITE 222
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City | TEMPE
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State | AZ
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Zip | 85284-2100
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Country | US
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Telephone | 480-436-7227
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Fax | 480-436-7372
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | JOANNE ELIZABETH WILSON
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Credential | R.N.
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Telephone | 480-436-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | AZ
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