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General NPI Number Information
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NPI Number | 1407446131
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Entity Type | Organization
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Legal Business Name | CARING HEARTS ASSISTANT SERVICES, LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 3470 KEARSAGE DR UNIT A101
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-9185
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Country | US
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Telephone | 928-614-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 KEARSAGE DR UNIT A101
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-9185
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Country | US
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Telephone | 928-614-2443
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CHRISTIE COURSON
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Credential |
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Telephone | 928-614-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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