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General NPI Number Information
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NPI Number | 1578170643
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Entity Type | Organization
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Legal Business Name | ARIZONA AMERICAN HOSPICE LLC
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 3101 N CENTRAL AVE STE 770
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City | PHOENIX
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State | AZ
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Zip | 85012-2665
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Country | US
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Telephone | 602-399-2610
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Fax | 480-718-8633
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Provider Business Mailing Address
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Address Line | 1325 S 123RD DR
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City | AVONDALE
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State | AZ
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Zip | 85323-3140
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Country | US
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Telephone | 602-399-2610
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Fax | 480-718-8633
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JESS MARTIN SIOZON
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Credential |
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Telephone | 602-399-2610
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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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