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General NPI Number Information
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NPI Number | 1831602697
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Entity Type | Organization
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Legal Business Name | MM&J HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 3161 S PROSPEROUS PL
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-6403
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Country | US
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Telephone | 480-938-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4581 N AVENIDA DEL CAZADOR
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City | TUCSON
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State | AZ
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Zip | 85718-6803
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Country | US
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Telephone | 840-938-2000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK FALAGRADY
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Credential |
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Telephone | 480-938-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL8740
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License Number State | AZ
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