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General NPI Number Information
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NPI Number | 1871952408
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Entity Type | Organization
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Legal Business Name | JAMES CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 12720 N. 149TH LANE
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City | SURPRISE
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State | AZ
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Zip | 85379
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Country | US
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Telephone | 623-349-2504
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Fax | 623-214-0796
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Provider Business Mailing Address
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Address Line | 12720 N. 149TH LANE
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City | SURPRISE
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State | AZ
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Zip | 85379
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Country | US
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Telephone | 623-349-2504
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Fax | 623-214-0796
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACY-ANN ROSETTA JAMES
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Credential | CARE-GIVER
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Telephone | 623-349-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1019555
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License Number State | AZ
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