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General NPI Number Information
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NPI Number | 1174335038
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Entity Type | Organization
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Legal Business Name | GOLDEN AGE COMPANIONS AZ, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 16220 N SCOTTSDALE RD STE 3113
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1781
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Country | US
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Telephone | 480-463-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 16220 N SCOTTSDALE RD STE 3113
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1781
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Country | US
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Telephone | 480-463-8384
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SCOTT MCKENZIE
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Credential |
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Telephone | 949-395-3142
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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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