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NPI 1407398290

NPI 1407398290 : 24 HOUR HOME LLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1407398290
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    Entity Type          |    Organization 
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    Legal Business Name  |    24 HOUR HOME LLC 
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Dates
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    Enumeration Date     |    11/09/2016
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    Last Update Date     |    11/09/2016
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Provider Practice Location Address
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    Address Line         |    5447 E BECK LN 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-1727
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    Country              |    US
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    Telephone            |    623-738-5766
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5447 E BECK LN 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-1727
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    Country              |    US
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    Telephone            |    623-738-5766
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. PORABHJOAT POONAM SINGH 
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    Credential           |    
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    Telephone            |    623-738-5766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    AL10097H
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    License Number State |    AZ
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