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General NPI Number Information
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NPI Number | 1952986317
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE, INC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1270 E BROADWAY RD STE 203
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City | TEMPE
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State | AZ
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Zip | 85282-1515
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Country | US
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Telephone | 480-634-8828
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Fax | 480-644-0087
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Provider Business Mailing Address
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Address Line | 1270 E BROADWAY RD STE 203
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City | TEMPE
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State | AZ
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Zip | 85282-1515
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Country | US
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Telephone | 480-634-8828
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Fax | 480-644-0087
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD A IRISH
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Credential |
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Telephone | 480-634-8828
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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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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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