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General NPI Number Information
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NPI Number | 1124954011
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Entity Type | Organization
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Legal Business Name | WALLA WALLA AL, LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 1018 WHITMAN ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-3400
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Country | US
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Telephone | 509-781-9022
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 WHITMAN ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-3400
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Country | US
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Telephone | 509-781-9022
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Fax |
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Authorized Official
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Title or Position | SR VP OF OPERATIONS
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Name | CHRIS SPENCER
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Credential |
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Telephone | 332-322-1990
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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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