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General NPI Number Information
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NPI Number | 1194158568
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Entity Type | Organization
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Legal Business Name | INTOUCH ELDER CARE
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 12818 N 44TH LN
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City | GLENDALE
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State | AZ
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Zip | 85304-2113
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Country | US
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Telephone | 602-358-8094
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Fax | 602-358-8094
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Provider Business Mailing Address
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Address Line | 12818 N 44TH LN
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City | GLENDALE
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State | AZ
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Zip | 85304-2113
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Country | US
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Telephone | 602-358-8094
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Fax | 602-358-8094
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Authorized Official
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Title or Position | OWNER
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Name | SUSANA ILEA
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Credential |
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Telephone | 623-806-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL9099H
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License Number State | AZ
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