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General NPI Number Information
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NPI Number | 1831683572
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Entity Type | Organization
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Legal Business Name | EVER MERCY CARE LLC
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Dates
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Enumeration Date | 06/16/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 18412 W MISSION LN
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City | WADDELL
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State | AZ
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Zip | 85355-4303
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Country | US
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Telephone | 623-666-3895
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Fax | 623-321-1206
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Provider Business Mailing Address
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Address Line | 18412 W MISSION LN
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City | WADDELL
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State | AZ
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Zip | 85355-4303
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Country | US
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Telephone | 623-666-3895
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Fax | 623-321-1206
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Authorized Official
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Title or Position | COODIRECTOR
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Name | JOHN OMIJIE
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Credential |
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Telephone | 623-326-3327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 08035
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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