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General NPI Number Information
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NPI Number | 1831297019
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1616 E MILLBROOK RD STE 240
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City | RALEIGH
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State | NC
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Zip | 27609-4971
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Country | US
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Telephone | 919-872-7999
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Fax | 919-853-7309
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Provider Business Mailing Address
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Address Line | 2999 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7247
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Country | US
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Telephone | 480-618-5760
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Fax | 602-253-5656
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MIKE LOVELL
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Credential |
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Telephone | 480-618-5760
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3377
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License Number State | NC
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