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NPI 1740808567

NPI 1740808567 : ENERGY EMPLOYEE HEALTHCARE : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1740808567
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    Entity Type          |    Organization 
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    Legal Business Name  |    ENERGY EMPLOYEE HEALTHCARE 
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Dates
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    Enumeration Date     |    07/08/2020
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    Last Update Date     |    11/26/2021
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Provider Practice Location Address
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    Address Line         |    7620 N HARTMAN LN STE 179 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85743-8263
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    Country              |    US
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    Telephone            |    520-280-0404
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    Fax                  |    866-740-4777
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Provider Business Mailing Address
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    Address Line         |    7400 N ORACLE RD STE 150-402 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85704-6331
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    Country              |    US
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    Telephone            |    520-280-0404
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    Fax                  |    866-740-4777
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. CHRISTOPHER LYNCH MARSH II
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    Credential           |    
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    Telephone            |    520-280-0404
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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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