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General NPI Number Information
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NPI Number | 1154242485
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Entity Type | Organization
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Legal Business Name | SOPHIES ASSISTED LIVING HOME PLLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 2324 W GRENADINE RD
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City | PHOENIX
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State | AZ
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Zip | 85041-3345
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Country | US
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Telephone | 602-692-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 W GRENADINE RD
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City | PHOENIX
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State | AZ
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Zip | 85041-3345
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Country | US
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Telephone | 602-692-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FREWOINI HABTEMARIAM
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Credential |
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Telephone | 602-692-2020
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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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