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General NPI Number Information
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NPI Number | 1376760983
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Entity Type | Organization
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Legal Business Name | SUMMIT HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 60 E RIO SALADO PKWY STE 9057
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City | TEMPE
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State | AZ
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Zip | 85281-9102
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Country | US
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Telephone | 480-366-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E RIO SALADO PKWY STE 9057
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City | TEMPE
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State | AZ
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Zip | 85281-9102
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Country | US
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Telephone | 480-366-5782
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NELLIE SMITH
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Credential | RN
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Telephone | 480-366-5782
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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 | UNDER PROCESS
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License Number State |
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