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General NPI Number Information
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NPI Number | 1780005652
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Entity Type | Organization
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Legal Business Name | LOVING CARE AGENCY
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 8700 S KYRENE RD
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City | TEMPE
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State | AZ
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Zip | 85284-2108
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Country | US
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Telephone | 480-541-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 S KYRENE RD
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City | TEMPE
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State | AZ
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Zip | 85284-2108
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Country | US
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Telephone | 480-541-1000
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | LUKAEA EUNICE SABRINA TAYLOR
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Credential |
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Telephone | 602-931-7930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | LP040810
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License Number State | AZ
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