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General NPI Number Information
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NPI Number | 1427258714
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Entity Type | Organization
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Legal Business Name | AMEDISYS ARIZONA, L.L.C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 2185 W PECOS RD SUITE E1
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City | CHANDLER
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State | AZ
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Zip | 85224-4873
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Country | US
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Telephone | 480-883-9295
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Fax | 480-883-9252
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM F BORNE
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Credential |
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Telephone | 225-292-2031
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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 | HHA3390
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License Number State | AZ
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