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General NPI Number Information
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NPI Number | 1114221272
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Entity Type | Organization
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Legal Business Name | HOOFBEATS WITH HEART
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 43491 N COYOTE RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-8924
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Country | US
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Telephone | 602-421-7718
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Fax | 480-888-0338
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Provider Business Mailing Address
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Address Line | PO BOX 2098
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City | HIGLEY
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State | AZ
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Zip | 85236-2098
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Country | US
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Telephone | 602-421-7718
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Fax | 480-888-0343
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Authorized Official
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Title or Position | THERAPY DIRECTOR
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Name | MELANIE IRENE CONATSER
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Credential | OTR/L
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Telephone | 602-793-9676
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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