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General NPI Number Information
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NPI Number | 1134374077
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Entity Type | Organization
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Legal Business Name | CASADELD, LLC
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 7138 W MONTE LINDO
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City | GLENDALE
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State | AZ
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Zip | 85310-5870
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Country | US
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Telephone | 623-218-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 7138 W MONTE LINDO
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City | GLENDALE
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State | AZ
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Zip | 85310-5870
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Country | US
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Telephone | 623-218-8481
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LUZ PIEDAD MCLEES
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Credential |
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Telephone | 623-218-8481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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