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General NPI Number Information
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NPI Number | 1962552083
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Entity Type | Organization
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Legal Business Name | ATOZ MEDICAL SUPPLY INCORPORATED
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 844 N BLUEJAY DR
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City | HIGLEY
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State | AZ
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Zip | 85236-3460
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Country | US
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Telephone | 480-813-8293
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1531
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City | HIGLEY
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State | AZ
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Zip | 85236-1531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LISA MICHELLE JOHNSON
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Credential |
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Telephone | 480-813-8293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 008687
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License Number State | AZ
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