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General NPI Number Information
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NPI Number | 1285349951
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Entity Type | Individual
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Provider Name | KAREN D MINUS
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Gender | Female
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 1501 SILVERADO DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5591
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Country | US
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Telephone | 520-234-5507
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Fax | 520-685-9376
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Provider Business Mailing Address
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Address Line | PO BOX 3526
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City | SIERRA VISTA
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State | AZ
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Zip | 85636-3526
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Country | US
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Telephone | 520-234-5507
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Fax | 520-685-9376
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AZ
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | AZ
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