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General NPI Number Information
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NPI Number | 1568703445
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Entity Type | Organization
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Legal Business Name | EL SOL HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/02/2013
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Last Update Date | 03/02/2013
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Provider Practice Location Address
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Address Line | 660 S PINAL PKWY STE 107
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City | FLORENCE
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State | AZ
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Zip | 85132-9726
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Country | US
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Telephone | 520-421-0775
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Fax | 520-421-0447
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Provider Business Mailing Address
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Address Line | 660 S PINAL PKWY STE 107
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City | FLORENCE
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State | AZ
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Zip | 85132-9726
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Country | US
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Telephone | 520-421-0775
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Fax | 520-421-0447
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS IMELDA PRAKELT
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Credential | LPN
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Telephone | 480-861-1002
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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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