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General NPI Number Information
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NPI Number | 1669540092
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Entity Type | Organization
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Legal Business Name | BELL ADULT CARE HOME
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 5343 E WOODRIDGE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7522
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Country | US
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Telephone | 602-867-7983
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Fax | 602-867-7983
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Provider Business Mailing Address
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Address Line | 5343 E WOODRIDGE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7522
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Country | US
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Telephone | 602-867-7983
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Fax | 602-867-7983
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MAGDALENA SIMEDRU
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Credential |
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Telephone | 602-867-7983
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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 | ALH-2056
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License Number State | AZ
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