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General NPI Number Information
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NPI Number | 1417528647
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Entity Type | Organization
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Legal Business Name | ADELANTE DEVELOPMENT CENTER, INC.
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 3609 LAFAYETTE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-4367
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Country | US
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Telephone | 505-341-2000
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Fax | 505-341-2001
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Provider Business Mailing Address
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Address Line | 3900 OSUNA RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4459
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Country | US
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Telephone | 505-449-4039
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | REBECCA LYNN SANFORD
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Credential |
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Telephone | 505-341-2000
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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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