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General NPI Number Information
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NPI Number | 1912116948
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Entity Type | Organization
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Legal Business Name | ACHIEVEMENT HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 32531 N SCOTTSDALE RD SUITE 105-162
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-1519
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Country | US
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Telephone | 480-488-3946
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Fax | 480-488-3956
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Provider Business Mailing Address
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Address Line | 32531 N SCOTTSDALE RD SUITE 105-162
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-1519
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Country | US
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Telephone | 480-488-3946
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Fax | 480-488-3956
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MR. JEFFREY JOSEPH BERAN
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Credential | DPT, ATC
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Telephone | 480-488-3946
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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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