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NPI 1144962838

NPI 1144962838 : CONEXUS.CARE LLC : COTTONWOOD, AZ

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General NPI Number Information
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    NPI Number           |    1144962838
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONEXUS.CARE LLC 
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Dates
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    Enumeration Date     |    04/12/2022
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    Last Update Date     |    04/12/2022
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Provider Practice Location Address
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    Address Line         |    1825 E VANDERHOEF LN 
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    City                 |    COTTONWOOD
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    State                |    AZ
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    Zip                  |    86326-3969
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    Country              |    US
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    Telephone            |    833-933-9303
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1825 E VANDERHOEF LN 
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    City                 |    COTTONWOOD
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    State                |    AZ
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    Zip                  |    86326-3969
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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    |    CHIEF REVENUE OFFICER
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    Name                 |    MR. RICK L MCGRAW 
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    Credential           |    
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    Telephone            |    513-310-5370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    247000000X
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    Taxonomy Name        |    Health Information Technician
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    License Number       |    
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    License Number State |    
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