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General NPI Number Information
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NPI Number | 1942088851
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Entity Type | Organization
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Legal Business Name | JS LOVING HEARTS, LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 3236 W SEAVER AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-0013
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Country | US
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Telephone | 602-723-7144
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Fax |
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Provider Business Mailing Address
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Address Line | 3236 W SEAVER AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-0013
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Country | US
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Telephone | 602-723-7144
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHELLA MICHEL
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Credential |
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Telephone | 602-723-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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