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General NPI Number Information
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NPI Number | 1376340638
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Entity Type | Organization
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Legal Business Name | PHOENIX PREMIER HOME CARE SERVICES
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4343 S 103RD AVE UNIT 195
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City | TOLLESON
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State | AZ
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Zip | 85353-1799
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Country | US
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Telephone | 765-336-9558
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Fax | 480-718-7589
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Provider Business Mailing Address
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Address Line | 4343 S 103RD AVE UNIT 195
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City | TOLLESON
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State | AZ
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Zip | 85353-1799
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Country | US
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Telephone | 765-336-9558
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Fax | 480-718-7589
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY POWELLS
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Credential | BSN
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Telephone | 765-336-9558
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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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