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General NPI Number Information
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NPI Number | 1184937153
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Entity Type | Organization
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Legal Business Name | AT HOME MEDICAL CARE LLC
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 3901 W OASIS DR
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City | TUCSON
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State | AZ
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Zip | 85742-9513
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Country | US
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Telephone | 520-940-1119
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Fax | 520-744-6697
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Provider Business Mailing Address
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Address Line | 3901 W OASIS DR
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City | TUCSON
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State | AZ
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Zip | 85742-9513
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Country | US
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Telephone | 520-940-1119
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Fax | 520-744-6697
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MICHELLE RAFFERTY
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Credential | RN MSN ANP BC
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Telephone | 520-940-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AP3427
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License Number State | AZ
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