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General NPI Number Information
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NPI Number | 1518574292
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Entity Type | Organization
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Legal Business Name | K ANB B SERVICES, LLC
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 23837 W WAYLAND DR
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City | BUCKEYE
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State | AZ
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Zip | 85326-7020
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Country | US
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Telephone | 623-337-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 51 E MONROE AVE UNIT 1122
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City | BUCKEYE
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State | AZ
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Zip | 85326-7544
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Country | US
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Telephone | 623-337-2264
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA GAIL ADAMS
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Credential | LPN
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Telephone | 623-337-2264
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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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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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