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General NPI Number Information
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NPI Number | 1982475190
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE SUNSHINE LLC DBA
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 8111 E THOMAS RD STE 112
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5876
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Country | US
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Telephone | 480-330-1191
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Fax | 480-269-9939
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Provider Business Mailing Address
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Address Line | 7904 E CHAPARRAL RD STE A110-207
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7295
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Country | US
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Telephone | 480-330-1191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RODNEY MALONE
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Credential |
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Telephone | 480-330-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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