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General NPI Number Information
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NPI Number | 1447486006
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Entity Type | Organization
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Legal Business Name | HOME CARE ASSISTANCE OF ARIZONA, LLC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 8585 E HARTFORD DR SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5471
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Country | US
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Telephone | 480-664-3600
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Fax | 480-505-4078
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Provider Business Mailing Address
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Address Line | 8585 E HARTFORD DR SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5471
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Country | US
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Telephone | 480-664-3600
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Fax | 480-505-4078
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MR. CRAIG J MORTON
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Credential |
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Telephone | 480-664-3600
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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 | 1023583
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License Number State | AZ
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