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General NPI Number Information
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NPI Number | 1154894541
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Entity Type | Organization
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Legal Business Name | ALTERNATE SOLUTIONS CARE GIVER SPECIALIST, LLC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2182 MCCULLOCH BLVD N STE. 5
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403
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Country | US
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Telephone | 928-230-9811
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Fax | 928-505-2997
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Provider Business Mailing Address
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Address Line | 2182 MCCULLOCH BLVD N STE. 5
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403
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Country | US
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Telephone | 928-230-9811
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Fax | 928-505-2997
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Authorized Official
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Title or Position | OWNER
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Name | AMY D. TAYLOR
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Credential |
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Telephone | 928-230-9874
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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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