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General NPI Number Information
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NPI Number | 1528379757
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Entity Type | Organization
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Legal Business Name | CARING CORNERS, INC.
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 2115 MCCULLOCH BLVD N STE B
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6670
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Country | US
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Telephone | 928-846-4496
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Fax | 928-846-4496
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Provider Business Mailing Address
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Address Line | 2115 MCCULLOCH BLVD N STE B
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403
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Country | US
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Telephone | 928-846-4496
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Fax | 928-846-4496
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. SUSAN GAIL PARKER
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Credential |
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Telephone | 928-846-4496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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