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General NPI Number Information
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NPI Number | 1245491653
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Entity Type | Organization
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Legal Business Name | HOZHO NAHASDLII HEALTH CARE AT HOME
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 3629 MILE MARKER 34 NAVAJO ROUTE 12
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City | FORT DEFIANCE
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State | AZ
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Zip | 86504-0793
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Country | US
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Telephone | 928-729-2085
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Fax | 928-729-2050
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Provider Business Mailing Address
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Address Line | PO BOX 793 NAVAJO ROUTE12 MILE MARKER 34
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City | FORT DEFIANCE
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State | AZ
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Zip | 86504-0793
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Country | US
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Telephone | 928-729-2085
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Fax | 928-729-2050
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Authorized Official
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Title or Position | ONWER
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Name | CALVINA ANN BEGAY
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Credential |
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Telephone | 928-729-2085
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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 | 328044
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License Number State | AZ
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