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General NPI Number Information
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NPI Number | 1841095551
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Entity Type | Organization
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Legal Business Name | STATE 48 HOME HEALTH OF PHOENIX LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3200 N HAYDEN RD STE 105B
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6766
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Country | US
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Telephone | 480-306-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 N HAYDEN RD STE 105B
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6766
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Country | US
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Telephone | 480-306-7078
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MOHAMMED AHMED
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Credential |
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Telephone | 702-445-1354
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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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