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General NPI Number Information
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NPI Number | 1619185071
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Entity Type | Organization
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Legal Business Name | ALERT ADULT CARE INC.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 10247 W MISSOURI AVE
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City | GLENDALE
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State | AZ
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Zip | 85307-4300
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Country | US
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Telephone | 623-878-1899
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Fax |
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Provider Business Mailing Address
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Address Line | 10247 W MISSOURI AVE
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City | GLENDALE
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State | AZ
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Zip | 85307-4300
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Country | US
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Telephone | 623-878-1899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTHER SEYMOUR-OLADE
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Credential | CPA
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Telephone | 602-722-9463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | ACH 510
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License Number State | AZ
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