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General NPI Number Information
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NPI Number | 1629913215
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Entity Type | Organization
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Legal Business Name | SAMARA BETHESDA ASSISTED LIVING LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 4353 RENDEZVOUS CIR
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City | ANCHORAGE
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State | AK
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Zip | 99504-4219
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Country | US
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Telephone | 808-428-9147
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Fax | 808-748-0131
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Provider Business Mailing Address
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Address Line | 4353 RENDEZVOUS CIR
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City | ANCHORAGE
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State | AK
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Zip | 99504-4219
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Country | US
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Telephone | 808-428-9147
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Fax | 808-748-0131
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MYDANELLE VILA
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Credential | CNA
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Telephone | 808-428-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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