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General NPI Number Information
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NPI Number | 1407323884
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Entity Type | Organization
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Legal Business Name | HOME HEALTH TUCSON, LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 6375 E TANQUE VERDE RD STE 180
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City | TUCSON
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State | AZ
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Zip | 85715-3852
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Country | US
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Telephone | 520-338-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 BROKEN SOUND PKWY NW STE 220
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City | BOCA RATON
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State | FL
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Zip | 33487-2754
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | KRISTI JACKSON
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Credential |
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Telephone | 941-257-4285
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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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