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General NPI Number Information
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NPI Number | 1306846936
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Entity Type | Organization
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Legal Business Name | MOHAVE HEALTH CARE
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 2812 SILVER CREEK RD
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-8309
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Country | US
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Telephone | 928-763-1404
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Fax | 928-763-9795
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Provider Business Mailing Address
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Address Line | 2812 SILVER CREEK RD
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-8309
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Country | US
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Telephone | 928-763-1404
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Fax | 928-763-9795
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Authorized Official
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Title or Position | CORPORATE FINANCIAL MANAGER
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Name | MRS. CINDY HAINES
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Credential |
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Telephone | 928-718-4852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NCI 353
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License Number State | AZ
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