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General NPI Number Information
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NPI Number | 1083259907
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE QUARTER ASSISTED LIVING LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 6321 E EVANS DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3219
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Country | US
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Telephone | 623-687-4122
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Fax | 480-687-4134
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Provider Business Mailing Address
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Address Line | 10750 W WINDSOR AVE
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City | AVONDALE
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State | AZ
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Zip | 85392-5830
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Country | US
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Telephone | 623-687-4122
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Fax | 480-687-4135
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Authorized Official
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Title or Position | OWNER
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Name | CLAIRE A ARANETA
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Credential |
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Telephone | 623-687-4122
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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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