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General NPI Number Information
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NPI Number | 1609616135
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Entity Type | Organization
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Legal Business Name | THE HILLS PREMIUM SERVICES
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 6424 E GREENWAY PKWY STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2045
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Country | US
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Telephone | 480-234-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 6424 E GREENWAY PKWY STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2045
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Country | US
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Telephone | 480-234-1301
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARHA M GRANDE
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Credential |
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Telephone | 626-664-6569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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