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General NPI Number Information
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NPI Number | 1154140788
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Entity Type | Organization
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Legal Business Name | NESTLED CARE
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 11839 N LUCKENBACH ST
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City | SURPRISE
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State | AZ
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Zip | 85388-3021
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Country | US
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Telephone | 602-763-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 11839 N LUCKENBACH ST
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City | SURPRISE
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State | AZ
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Zip | 85388-3021
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Country | US
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Telephone | 602-763-5050
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Fax |
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Authorized Official
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Title or Position | CARE MANAGER
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Name | SYLVIA K NANYANGWE
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Credential | MBA,BIO-MED CHEM,EHC
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Telephone | 480-500-8947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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