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General NPI Number Information
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NPI Number | 1023970555
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Entity Type | Organization
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Legal Business Name | TUDOR ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3811 GARDNER ST
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City | ANCHORAGE
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State | AK
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Zip | 99508-4965
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Country | US
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Telephone | 907-602-7142
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Fax | 907-884-5410
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Provider Business Mailing Address
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Address Line | 15020 EAGLERISE DR
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City | LITHIA
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State | FL
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Zip | 33547-3804
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Country | US
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Telephone | 907-602-7142
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Fax | 907-884-5410
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Authorized Official
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Title or Position | OWNER
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Name | DUANE P HUNTE
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Credential | MSW
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Telephone | 907-602-7142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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