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General NPI Number Information
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NPI Number | 1437030715
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Entity Type | Organization
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Legal Business Name | ARIZONA SUNSHINE ASSISTED LIVING LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6008 W PARADISE LN
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City | GLENDALE
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State | AZ
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Zip | 85306-2345
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Country | US
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Telephone | 623-226-8006
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Fax | 480-718-7431
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Provider Business Mailing Address
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Address Line | 6008 W PARADISE LN
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City | GLENDALE
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State | AZ
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Zip | 85306-2345
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Country | US
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Telephone | 623-226-8006
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Fax | 480-718-7431
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER KELLEY
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Credential |
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Telephone | 619-914-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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