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General NPI Number Information
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NPI Number | 1457170276
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Entity Type | Organization
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Legal Business Name | ASHAS'S PLACE LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 44920 W HATHAWAY AVE UNIT 336
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City | MARICOPA
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State | AZ
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Zip | 85139-9921
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Country | US
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Telephone | 602-637-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 44920 W HATHAWAY AVE UNIT 336
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City | MARICOPA
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State | AZ
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Zip | 85139-9921
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Country | US
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Telephone | 602-637-4331
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MELANIE ANN ISAACSMENDELSOHN
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Credential | OWNER/MANAGER/RN
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Telephone | 520-560-3561
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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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