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General NPI Number Information
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NPI Number | 1790922706
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Entity Type | Organization
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Legal Business Name | DESERT OASIS HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 8111 E THOMAS RD STE 124
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5876
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Country | US
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Telephone | 602-424-5566
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Fax | 602-242-5565
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Provider Business Mailing Address
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Address Line | 8111 E THOMAS RD STE 124
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5876
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Country | US
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Telephone | 602-424-5566
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Fax | 602-424-5565
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA JACKSON
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Credential |
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Telephone | 602-505-1018
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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 | HHA4526
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License Number State | AZ
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