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General NPI Number Information
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NPI Number | 1144675307
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Entity Type | Organization
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Legal Business Name | SUN CITY AREA INTERFAITH SERVICES, INC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 16752 N GREASEWOOD ST
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City | SURPRISE
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State | AZ
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Zip | 85378-3639
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Country | US
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Telephone | 623-584-4999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8450
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City | SURPRISE
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State | AZ
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Zip | 85374-0124
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Country | US
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Telephone | 623-584-4999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOANNE THOMSON
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Credential |
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Telephone | 623-584-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | AL1083D
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | AL2905D
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | AL7567D
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License Number State | AZ
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