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General NPI Number Information
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NPI Number | 1487970109
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Entity Type | Organization
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Legal Business Name | VALLEY OF THE SUN HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 1501 E ORANGEWOOD AVE SUITE A
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City | PHOENIX
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State | AZ
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Zip | 85020-5130
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Country | US
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Telephone | 602-944-1574
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Fax | 602-535-0253
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Provider Business Mailing Address
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Address Line | 1501 E ORANGEWOOD AVE SUITE A
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City | PHOENIX
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State | AZ
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Zip | 85020-5130
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Country | US
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Telephone | 602-944-1574
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Fax | 602-535-0253
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DONALD LEE PIERCE
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Credential | NP
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Telephone | 602-944-1574
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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 | HHA4947
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License Number State | AZ
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