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General NPI Number Information
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NPI Number | 1780566182
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Entity Type | Organization
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Legal Business Name | SHAW CARE HOMES, LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 708 W CORNELL DR
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City | TEMPE
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State | AZ
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Zip | 85283-2706
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Country | US
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Telephone | 480-404-4886
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Fax | 480-602-3354
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Provider Business Mailing Address
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Address Line | 3210 E IAN DR
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City | PHOENIX
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State | AZ
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Zip | 85042-9670
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Country | US
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Telephone | 480-404-4886
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WENDI HUMPHREYS
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Credential | PARTNER
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Telephone | 480-404-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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