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General NPI Number Information
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NPI Number | 1669928974
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Entity Type | Organization
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Legal Business Name | LEYSAN, LLC
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Dates
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Enumeration Date | 08/27/2016
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1935 W MEADOW HILLS DR
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City | NOGALES
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State | AZ
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Zip | 85621-3834
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Country | US
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Telephone | 520-415-1416
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Fax | 520-415-1417
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Provider Business Mailing Address
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Address Line | 1935 W MEADOW HILLS DR
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City | NOGALES
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State | AZ
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Zip | 85621-3834
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Country | US
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Telephone | 520-265-6616
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Fax | 520-415-1417
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. FRANCISCO A SANCHEZ
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Credential |
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Telephone | 520-265-6616
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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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