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General NPI Number Information
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NPI Number | 1619843919
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Entity Type | Organization
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Legal Business Name | AMITY HEALTH GROUP LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4343 N SCOTTSDALE RD STE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3351
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Country | US
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Telephone | 602-536-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 N SCOTTSDALE RD STE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3351
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Country | US
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Telephone | 602-536-9987
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GWENDOLYN VILLANUEVA
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Credential |
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Telephone | 808-286-1698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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