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General NPI Number Information
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NPI Number | 1386979417
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Entity Type | Organization
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Legal Business Name | KELSAR INC.
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 10505 N 69TH ST STE 201
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1519
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Country | US
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Telephone | 480-947-1234
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Fax | 480-947-4323
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Provider Business Mailing Address
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Address Line | 10505 N 69TH ST STE 201
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1519
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Country | US
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Telephone | 480-947-1234
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Fax | 602-559-5373
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KELLY L ENGELHARDT
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Credential |
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Telephone | 480-947-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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