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General NPI Number Information
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NPI Number | 1295059798
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Entity Type | Organization
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Legal Business Name | DESERT WINDS ASSISTED LIVING
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 20545 N LAKE PLEASANT RD
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City | PEORIA
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State | AZ
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Zip | 85382-2577
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Country | US
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Telephone | 623-322-0600
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Fax | 623-322-0610
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Provider Business Mailing Address
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Address Line | 8432 E SHEA BLVD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6668
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Country | US
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Telephone | 480-348-0300
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Fax | 480-348-9609
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Authorized Official
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Title or Position | CORPORATE CONTROLLER
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Name | KRISTEN STEVENSON
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Credential |
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Telephone | 480-348-0300
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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 | AL2539C
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License Number State | AZ
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