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General NPI Number Information
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NPI Number | 1770253338
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Entity Type | Organization
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Legal Business Name | MEADOWS CATALINA LLC
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 11175 E EDISON ST
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City | TUCSON
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State | AZ
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Zip | 85749-9773
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Country | US
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Telephone | 928-242-0124
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Fax | 928-367-5862
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Provider Business Mailing Address
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Address Line | 11175 E EDISON ST
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City | TUCSON
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State | AZ
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Zip | 85749-9773
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Country | US
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Telephone | 928-242-0124
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Fax | 928-367-5862
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | DEBORAH ENGEBRETSON
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Credential |
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Telephone | 928-242-0124
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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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