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General NPI Number Information
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NPI Number | 1518160324
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Entity Type | Organization
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Legal Business Name | MISSIONARY HOME HEALTH AND STAFFING INC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4045 N 7TH ST STE 204A
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City | PHOENIX
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State | AZ
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Zip | 85014-4753
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Country | US
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Telephone | 602-265-3830
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Fax | 602-265-3850
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Provider Business Mailing Address
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Address Line | 4045 N 7TH ST STE 204A
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City | PHOENIX
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State | AZ
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Zip | 85014-4753
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Country | US
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Telephone | 602-265-3830
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Fax | 602-265-3850
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA IBEABUCHI
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Credential | RN
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Telephone | 602-265-3830
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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 |
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License Number State | AZ
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