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General NPI Number Information
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NPI Number | 1972955060
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Entity Type | Organization
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Legal Business Name | EMERALD HEALTHCARE INC.
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 7660 E BROADWAY BLVD STE 103
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City | TUCSON
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State | AZ
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Zip | 85710-3759
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Country | US
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Telephone | 520-372-2144
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Fax |
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Provider Business Mailing Address
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Address Line | 7660 E BROADWAY BLVD STE 103
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City | TUCSON
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State | AZ
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Zip | 85710-3759
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Country | US
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Telephone | 520-372-2144
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTIN MAKINAJYAN
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Credential | RN, BSN, BSN
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Telephone | 520-372-2144
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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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