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General NPI Number Information
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NPI Number | 1356218366
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Entity Type | Organization
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Legal Business Name | T.Y.P. HOME DIALYSIS CARE LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5115 N DYSART RD 202-445
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3032
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Country | US
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Telephone | 844-520-7412
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD 202-445
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3032
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Country | US
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Telephone | 844-520-7412
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ADRIAN YELLOWHAIR
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Credential | CCHT
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Telephone | 623-565-7569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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License Number |
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License Number State |
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