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General NPI Number Information
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NPI Number | 1487016820
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Entity Type | Organization
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Legal Business Name | SAMARITAN ANGEL CARE SERVICES LLC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 6321 E EVANS DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3219
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Country | US
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Telephone | 480-991-0001
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Fax | 480-922-5229
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Provider Business Mailing Address
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Address Line | 6321 E EVANS DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3219
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Country | US
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Telephone | 480-991-0001
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Fax | 480-922-5229
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Authorized Official
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Title or Position | OWNER
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Name | AIMEE N NYIRAKANYANA
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Credential |
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Telephone | 480-991-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | AL9984H
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License Number State | AZ
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