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General NPI Number Information
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NPI Number | 1568917649
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Entity Type | Individual
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Provider Name | JOYCE DENISE SMITH C.N.A., C.C.G., ALM
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 41402 W HOPPER DR
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City | MARICOPA
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State | AZ
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Zip | 85138-7278
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Country | US
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Telephone | 520-251-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 41402 W HOPPER DR
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City | MARICOPA
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State | AZ
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Zip | 85138-7278
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Country | US
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Telephone | 520-483-9175
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Fax | 520-509-3712
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | AZ03960
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA1000047205
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | ALM-011836
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License Number State | AZ
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