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General NPI Number Information
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NPI Number | 1881335347
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Entity Type | Organization
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Legal Business Name | AMANA CARE
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 3848 S WEST TEMPLE APT 362
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-1293
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Country | US
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Telephone | 385-202-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 3161 S WEST TEMPLE UNIT 65944
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City | SALT LAKE CITY
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State | UT
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Zip | 84165-6539
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Country | US
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Telephone | 385-202-1929
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MONA ALFARDI
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Credential |
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Telephone | 510-499-2990
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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 |
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License Number State |
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