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General NPI Number Information
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NPI Number | 1740747203
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Entity Type | Organization
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Legal Business Name | OUR LOVING CARE, LLC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 14631 N CAVE CREEK RD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85022-4100
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Country | US
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Telephone | 480-770-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 14631 N CAVE CREEK RD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85022-4100
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Country | US
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Telephone | 480-770-4633
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITONER/ CO-OWNER
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Name | MRS. NYASHA G MCGINNIS
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Credential | ANP-C
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Telephone | 913-526-2409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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