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General NPI Number Information
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NPI Number | 1629187240
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Entity Type | Organization
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Legal Business Name | ARBOR BROOK LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 2216 LESTER DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2607
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Country | US
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Telephone | 505-296-4808
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Fax | 505-293-0398
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Provider Business Mailing Address
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Address Line | 2216 LESTER DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2607
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Country | US
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Telephone | 505-296-4808
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Fax | 505-293-0398
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ALAN ZAMPINI
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Credential |
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Telephone | 505-304-5152
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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 | 1050
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License Number State | NM
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