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General NPI Number Information
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NPI Number | 1053285916
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Entity Type | Organization
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Legal Business Name | NEW VISIONS ASSISTED LIVING LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 16433 N 68TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1500
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Country | US
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Telephone | 480-764-3616
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Fax |
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Provider Business Mailing Address
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Address Line | 1846 E INNOVATION PARK DR STE 100
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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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 | MS. WANDA FORDEN
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Credential |
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Telephone | 480-764-3616
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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 |
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License Number State |
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