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General NPI Number Information
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NPI Number | 1427334457
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Entity Type | Organization
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Legal Business Name | CHERISH HOUSE CALLS, LLC
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 10975 E WHITE SAGE DR
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City | TUCSON
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State | AZ
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Zip | 85747-9652
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Country | US
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Telephone | 520-203-7539
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Fax | 520-437-0390
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Provider Business Mailing Address
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Address Line | 10975 E WHITE SAGE DR
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City | TUCSON
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State | AZ
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Zip | 85747-9652
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Country | US
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Telephone | 520-203-7539
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Fax | 520-437-0390
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. ADRIAN MERCADO
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Credential |
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Telephone | 520-203-7539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3506
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License Number State | AZ
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