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General NPI Number Information
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NPI Number | 1386993004
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Entity Type | Organization
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Legal Business Name | VALLEY CARE & ENRICHMENT SERVICES, INC
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 2117 SOUTH 48TH STREET # 103
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City | TEMPE
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State | AZ
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Zip | 85282
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Country | US
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Telephone | 602-437-0106
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Fax | 602-437-0109
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Provider Business Mailing Address
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Address Line | 2117 S 48TH ST STE 103
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City | TEMPE
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State | AZ
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Zip | 85282-1016
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Country | US
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Telephone | 602-437-0106
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Fax | 602-437-0109
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Authorized Official
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Title or Position | CEO
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Name | ABDELRAHIM ABDELRAHMAN
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Credential |
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Telephone | 602-437-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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