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General NPI Number Information
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NPI Number | 1710694070
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Entity Type | Individual
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Provider Name | SHIRLEY GAINES-ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 14819 N CAVE CREEK RD
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City | PHOENIX
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State | AZ
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Zip | 85032-4986
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Country | US
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Telephone | 480-744-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 46008 W BELLE AVE
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City | MARICOPA
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State | AZ
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Zip | 85139-6989
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Country | US
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Telephone | 219-561-3465
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 146731
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License Number State | AZ
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