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General NPI Number Information
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NPI Number | 1598684011
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Entity Type | Organization
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Legal Business Name | 301 N 1200 E OPCO, LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 301 N 1200 E
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City | LEHI
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State | UT
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Zip | 84043-2455
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Country | US
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Telephone | 385-484-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 24901 DANA POINT HARBOR DR STE A200
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City | DANA POINT
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State | CA
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Zip | 92629-2930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | CANDICE FINE
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Credential |
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Telephone | 602-900-9020
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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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