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General NPI Number Information
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NPI Number | 1619443447
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Entity Type | Organization
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Legal Business Name | GOOD HART CARE, LLC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 7047 E GREENWAY PKWY
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-8107
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Country | US
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Telephone | 800-683-7503
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27094
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City | PHOENIX
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State | AZ
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Zip | 85061-7094
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Country | US
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Telephone | 800-683-7503
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | P. ADERAH
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Credential |
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Telephone | 800-683-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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