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General NPI Number Information
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NPI Number | 1245171040
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Entity Type | Organization
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Legal Business Name | FOREVER WORK LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 3905 N 7TH AVE UNIT 33354
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City | PHOENIX
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State | AZ
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Zip | 85067-2618
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Country | US
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Telephone | 602-529-2165
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33354
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City | PHOENIX
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State | AZ
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Zip | 85067-3354
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Country | US
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Telephone | 602-529-2165
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ITORO ELIJAH
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Credential | MD
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Telephone | 801-209-7053
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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 |
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License Number State |
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