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General NPI Number Information
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NPI Number | 1225496268
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME CARE, LLC
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 11510 W LANGFORD CT
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City | YOUNGTOWN
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State | AZ
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Zip | 85363-1426
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Country | US
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Telephone | 623-243-5664
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Fax | 888-345-6916
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Provider Business Mailing Address
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Address Line | 11282 N 162ND LN
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City | SURPRISE
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State | AZ
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Zip | 85379-4600
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Country | US
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Telephone | 480-440-6846
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MRS. MARIANA MURZA
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Credential |
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Telephone | 480-440-6846
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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 | AL7346H
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License Number State | AZ
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