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General NPI Number Information
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NPI Number | 1740640325
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Entity Type | Organization
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Legal Business Name | UNITED HEALTHY PERMANENTE, INC.
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 13760 N 93RD AVE SUITE 105A
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City | PEORIA
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State | AZ
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Zip | 85381-4201
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Country | US
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Telephone | 844-400-0005
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Fax | 844-215-1241
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Provider Business Mailing Address
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Address Line | 13760 N 93RD AVE SUITE 105A
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City | PEORIA
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State | AZ
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Zip | 85381-4201
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Country | US
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Telephone | 844-400-0005
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Fax | 844-215-1241
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Authorized Official
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Title or Position | CEO
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Name | VARDAN MURADYAN
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Credential |
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Telephone | 844-400-0005
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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 | HHA6898
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License Number State | AZ
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