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General NPI Number Information
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NPI Number | 1649517368
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Entity Type | Organization
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Legal Business Name | A CARING HEART OF ARIZONA LLC
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 15333 N PIMA RD STE 133
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2787
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Country | US
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Telephone | 480-308-0382
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Fax | 480-308-0384
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Provider Business Mailing Address
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Address Line | 15333 N PIMA RD STE 133
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2787
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Country | US
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Telephone | 480-308-0382
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Fax | 480-308-0384
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Authorized Official
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Title or Position | CEO, OWNER
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Name | MS. KANDI KAY CLARK
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Credential |
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Telephone | 480-308-0382
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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 | 05936
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License Number State | AZ
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