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NPI 1316681315

NPI 1316681315 : NO LIMITS RESPITE : SAN TAN VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1316681315
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    Entity Type          |    Organization 
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    Legal Business Name  |    NO LIMITS RESPITE 
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Dates
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    Enumeration Date     |    04/25/2022
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    Last Update Date     |    04/25/2022
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Provider Practice Location Address
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    Address Line         |    4625 E PREAKNESS DR 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85140-9133
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    Country              |    US
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    Telephone            |    602-722-0866
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4625 E PREAKNESS DR 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85140-9133
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    Country              |    US
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    Telephone            |    602-722-0866
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ABBE L NINO 
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    Credential           |    
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    Telephone            |    602-722-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    385HR2065X
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    Taxonomy Name        |    Child Physical Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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