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General NPI Number Information
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NPI Number | 1700682911
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Entity Type | Organization
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Legal Business Name | AGE OF WISDOM SENIOR CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 15411 W WADDELL RD STE 102
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City | SURPRISE
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State | AZ
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Zip | 85379-5170
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Country | US
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Telephone | 325-433-8485
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3801
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City | ABILENE
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State | TX
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Zip | 79604-3801
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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 | OWNER/CEO
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Name | MS. VALARIE CRAWFORD
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Credential | FNP-C
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Telephone | 469-765-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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