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General NPI Number Information
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NPI Number | 1457266611
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Entity Type | Organization
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Legal Business Name | PRII SL GREAT FALLS OPCO, LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 10200 COLVIN RUN RD
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City | GREAT FALLS
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State | VA
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Zip | 22066-1830
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Country | US
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Telephone | 703-759-2513
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Fax | 703-759-2514
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Provider Business Mailing Address
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Address Line | 10200 COLVIN RUN RD
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City | GREAT FALLS
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State | VA
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Zip | 22066
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Country | US
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Telephone | 703-759-2513
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Fax | 703-759-2514
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRIAN ENGLE
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Credential |
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Telephone | 410-962-0595
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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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