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General NPI Number Information
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NPI Number | 1588577852
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Entity Type | Organization
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Legal Business Name | AZ ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 21894 S 199TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7364
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Country | US
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Telephone | 480-834-8000
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Fax | 877-834-8008
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Provider Business Mailing Address
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Address Line | 21894 S 199TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7364
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Country | US
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Telephone | 480-834-8000
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Fax | 877-834-8008
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Authorized Official
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Title or Position | OWNER
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Name | BRADY GARRARD
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Credential |
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Telephone | 480-834-8000
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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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