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General NPI Number Information
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NPI Number | 1659818177
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Entity Type | Organization
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Legal Business Name | ZANELLI ENTERPRISE, INC.
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Dates
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Enumeration Date | 01/22/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 6980 E SAHUARO DR 1075
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5292
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Country | US
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Telephone | 714-423-3881
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Fax |
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Provider Business Mailing Address
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Address Line | 10645 N TATUM BLVD C200-270
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City | PHOENIX
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State | AZ
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Zip | 85028-3068
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Country | US
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Telephone | 602-545-3122
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH MATTHEWS
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Credential |
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Telephone | 714-423-3881
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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 | 21151580
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License Number State | AZ
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