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General NPI Number Information
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NPI Number | 1801616800
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Entity Type | Organization
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Legal Business Name | LW CARE LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 8880 CAL CENTER DR FL 4
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City | SACRAMENTO
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State | CA
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Zip | 95826-3222
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Country | US
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Telephone | 915-247-6129
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 W UNION HILLS DR STE 350
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City | PHOENIX
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State | AZ
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Zip | 85027-5187
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Country | US
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Telephone | 915-247-6129
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Fax |
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Authorized Official
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Title or Position | EVP
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Name | WALTER THOMAS WHITE
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Credential |
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Telephone | 602-301-0610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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