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General NPI Number Information
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NPI Number | 1326400847
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Entity Type | Organization
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Legal Business Name | MINDFUL HOME HEALTH PLLC
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 2487 S GILBERT RD 106-129
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City | GILBERT
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State | AZ
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Zip | 85295-8899
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Country | US
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Telephone | 480-788-3793
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Fax |
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Provider Business Mailing Address
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Address Line | 2487 S GILBERT RD 106-129
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City | GILBERT
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State | AZ
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Zip | 85295-8899
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Country | US
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Telephone | 480-788-3793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE A ANGILERI
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Credential | R.N.
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Telephone | 602-799-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN151551
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License Number State | AZ
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