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General NPI Number Information
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NPI Number | 1285269530
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Entity Type | Organization
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Legal Business Name | DESERT FAMILY HOME HEALTH LLC
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 13215 N VERDE RIVER DR STE 1
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8309
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Country | US
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Telephone | 480-226-4061
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Fax |
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Provider Business Mailing Address
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Address Line | 13215 N VERDE RIVER DR STE 1
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8309
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Country | US
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Telephone | 480-637-0900
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Fax | 480-604-2217
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Authorized Official
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Title or Position | OWNER
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Name | MR. MATTHEW TENER
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Credential | LPN
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Telephone | 480-637-0900
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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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