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General NPI Number Information
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NPI Number | 1811850563
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Entity Type | Organization
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Legal Business Name | ARIZONA INDEPENDENCE & ABILITY SERVICES, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 480-818-9397
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 N ARIZONA AVE APT 279
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City | CHANDLER
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State | AZ
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Zip | 85225-1978
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Country | US
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Telephone | 480-818-9397
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DELDRYA PUGH
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Credential |
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Telephone | 480-818-1939
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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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