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General NPI Number Information
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NPI Number | 1518191113
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Entity Type | Organization
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Legal Business Name | FOCUS CARE OF ARIZONA LLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 4350 E CAMELBACK RD SUITE A110
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City | PHOENIX
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State | AZ
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Zip | 85018-2701
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Country | US
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Telephone | 602-955-2221
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Fax | 602-955-1899
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Provider Business Mailing Address
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Address Line | 4350 E CAMELBACK RD SUITE A110
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City | PHOENIX
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State | AZ
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Zip | 85018-2701
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Country | US
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Telephone | 602-955-2221
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Fax | 602-955-1899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SIMMY AGHAULOR
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Credential |
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Telephone | 480-315-3707
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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 |
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