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General NPI Number Information
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NPI Number | 1164396594
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Entity Type | Organization
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Legal Business Name | NEW LEAF HEALTH LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3395 E SILVERSMITH TRL
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-3362
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Country | US
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Telephone | 480-561-6376
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Fax | 480-275-6429
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Provider Business Mailing Address
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Address Line | 1320 W ANGUS RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-5108
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Country | US
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Telephone | 480-651-6376
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Fax | 480-275-6429
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GERALD F GATHUNGU
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Credential |
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Telephone | 480-651-6376
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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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