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General NPI Number Information
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NPI Number | 1447527809
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Entity Type | Organization
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Legal Business Name | VISITING NURSES OF ARIZONA, INC
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 10211 N 32ND ST E1
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City | PHOENIX
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State | AZ
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Zip | 85028-3828
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Country | US
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Telephone | 623-295-5265
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Fax | 623-551-0838
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Provider Business Mailing Address
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Address Line | 10211 N 32ND ST E1
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City | PHOENIX
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State | AZ
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Zip | 85028-3828
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Country | US
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Telephone | 623-295-5265
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Fax | 623-551-0838
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MR. WENDEL ADRAIN AKINS
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Credential | RN
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Telephone | 623-295-5265
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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 | HHA5238
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License Number State | AZ
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