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General NPI Number Information
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NPI Number | 1821761255
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Entity Type | Organization
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Legal Business Name | MD CARES AT SUN CITY LLC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 15331 W BELL RD STE 212
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City | SURPRISE
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State | AZ
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Zip | 85374-4104
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Country | US
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Telephone | 623-428-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 1428 E CHICKASAW CT
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City | PHOENIX
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State | AZ
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Zip | 85086-5317
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Country | US
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Telephone | 623-203-3084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KAFORA
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Credential |
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Telephone | 623-203-3084
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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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