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General NPI Number Information
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NPI Number | 1093441412
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Entity Type | Organization
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Legal Business Name | WARM EMBRACE KIDS HOME
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 9346 W SANTA CRUZ BLVD
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City | ARIZONA CITY
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State | AZ
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Zip | 85123-7147
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Country | US
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Telephone | 480-376-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 1988 E BASELINE RD STE 103
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City | TEMPE
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State | AZ
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Zip | 85283-1536
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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 | MANAGER
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Name | NITA COTTON
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Credential |
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Telephone | 480-334-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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