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General NPI Number Information
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NPI Number | 1134243314
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTH CONSULTANTS
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 7971 N 53RD AVE SUITE 105
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City | GLENDALE
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State | AZ
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Zip | 85301-8652
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Country | US
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Telephone | 623-934-2300
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Fax | 623-934-2307
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Provider Business Mailing Address
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Address Line | 6611 W PEORIA AVE SUITE 5-265
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City | GLENDALE
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State | AZ
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Zip | 85302-7000
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Country | US
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Telephone | 623-934-2300
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Fax | 623-934-2307
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Authorized Official
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Title or Position | CEO
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Name | MS. R ELAINE SELLERS
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Credential |
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Telephone | 623-934-2300
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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 | 530205
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License Number State | AZ
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