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General NPI Number Information
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NPI Number | 1457859894
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Entity Type | Organization
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Legal Business Name | SMART HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 7413 E NORTHRIDGE CIR
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City | MESA
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State | AZ
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Zip | 85207-2090
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Country | US
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Telephone | 480-220-3115
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Fax | 480-220-3115
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Provider Business Mailing Address
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Address Line | PO BOX 20307
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City | MESA
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State | AZ
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Zip | 85277-0307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. KYLE MARKELL
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Credential |
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Telephone | 480-220-3115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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