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General NPI Number Information
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NPI Number | 1891407979
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Entity Type | Organization
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Legal Business Name | MARLEY HEALING HANDS HEALTHCARE INC
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3820 E MAIN ST STE 11
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City | MESA
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State | AZ
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Zip | 85205-8547
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Country | US
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Telephone | 704-502-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 4232 S GOLD LEAF DR
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City | CHANDLER
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State | AZ
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Zip | 85249-5684
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Country | US
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Telephone | 623-552-6909
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SUMANTH K PEPALA
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Credential |
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Telephone | 704-502-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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