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General NPI Number Information
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NPI Number | 1699015107
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Entity Type | Organization
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Legal Business Name | SOLACE PLACE, LLC
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 43221 W ELIZABETH AVE
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City | MARICOPA
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State | AZ
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Zip | 85138-5710
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Country | US
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Telephone | 520-568-8341
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Fax |
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Provider Business Mailing Address
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Address Line | 43221 W ELIZABETH AVE
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City | MARICOPA
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State | AZ
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Zip | 85138-5710
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Country | US
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Telephone | 520-568-8341
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERIOLYN CURRY
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Credential | CSA
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Telephone | 480-980-1494
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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 | AL8979H
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License Number State | AZ
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