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General NPI Number Information
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NPI Number | 1851829899
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Entity Type | Organization
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Legal Business Name | INSPIRE HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 21410 N 19TH AVE STE 126
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City | PHOENIX
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State | AZ
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Zip | 85027-2756
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Country | US
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Telephone | 623-231-2451
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Fax | 236-231-2461
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Provider Business Mailing Address
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Address Line | 21410 N 19TH AVE STE 126
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City | PHOENIX
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State | AZ
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Zip | 85027-2756
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Country | US
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Telephone | 623-231-2451
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Fax | 623-231-2461
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID HAUSCHILD
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Credential |
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Telephone | 623-231-2451
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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 | NONE
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License Number State | AZ
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