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General NPI Number Information
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NPI Number | 1740345735
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Entity Type | Organization
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Legal Business Name | SC CARE SERVICES LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 3965 E. FOOTHILLS DRIVE SUITE F
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-4252
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Country | US
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Telephone | 520-417-2000
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Fax | 520-417-2012
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Provider Business Mailing Address
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Address Line | 3965 E. FOOTHILLS DRIVE SUITE F
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-4252
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Country | US
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Telephone | 520-417-2000
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Fax | 520-417-2012
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Authorized Official
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Title or Position | GENERAL MANAGER/OWNER
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Name | MS. SANDRA CHANCELLOR
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Credential |
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Telephone | 520-417-2000
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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 | 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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