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General NPI Number Information
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NPI Number | 1528657731
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Entity Type | Organization
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Legal Business Name | ABOUT SENIORS ASSISTED LIVING II,LLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 15421 N 177TH DR
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City | SURPRISE
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State | AZ
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Zip | 85388-3100
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Country | US
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Telephone | 623-249-7487
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Fax | 623-594-4858
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Provider Business Mailing Address
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Address Line | 21536 N 66TH LN
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City | GLENDALE
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State | AZ
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Zip | 85308-6414
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Country | US
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Telephone | 623-249-7487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA LUANA SII
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Credential |
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Telephone | 623-249-7487
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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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