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General NPI Number Information
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NPI Number | 1386854370
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Entity Type | Organization
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Legal Business Name | ARIZONA CONSUMER DIRECT PERSONAL CARE
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 50 N ALVERNON WAY
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City | TUCSON
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State | AZ
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Zip | 85711-2801
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Country | US
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Telephone | 520-398-8409
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Fax | 877-398-8413
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Provider Business Mailing Address
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Address Line | 100 CONSUMER DIRECT WAY
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City | MISSOULA
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State | MT
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Zip | 59808-5037
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Country | US
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Telephone | 406-539-1900
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Fax | 406-532-1922
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Authorized Official
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Title or Position | LEGAL MANAGER
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Name | HOLLY STEPHENS
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Credential |
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Telephone | 406-532-1929
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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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