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General NPI Number Information
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NPI Number | 1295407211
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS OF THE VALLEY CARE
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 777 W CHANDLER BLVD APT 1256
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City | CHANDLER
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State | AZ
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Zip | 85225-2532
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Country | US
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Telephone | 815-210-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 777 W CHANDLER BLVD APT 1256
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City | CHANDLER
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State | AZ
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Zip | 85225-2532
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Country | US
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Telephone | 815-210-4545
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ROBIN RILEY
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Credential |
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Telephone | 815-210-4545
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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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