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General NPI Number Information
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NPI Number | 1255899696
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Entity Type | Organization
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Legal Business Name | HEART TO HEART HOME HEALTH CARE AGENCY, LLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 13231 N 35TH AVE STE 5A
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City | PHOENIX
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State | AZ
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Zip | 85029-1233
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Country | US
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Telephone | 602-354-8898
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Fax | 602-419-2919
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Provider Business Mailing Address
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Address Line | 13231 N 35TH AVE STE 5A
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City | PHOENIX
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State | AZ
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Zip | 85029-1233
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Country | US
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Telephone | 602-354-8898
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Fax | 602-419-2919
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LILIT SEDRAKYAN
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Credential | LCSW
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Telephone | 818-491-3333
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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 |
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License Number State |
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