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General NPI Number Information
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NPI Number | 1629929146
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Entity Type | Organization
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Legal Business Name | CRADLE OF LOVE LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3040 E CACTUS RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85032-7196
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Country | US
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Telephone | 612-357-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 E CACTUS RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85032-7196
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARMAINE MEADOWS
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Credential |
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Telephone | 612-357-3241
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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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 #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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