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General NPI Number Information
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NPI Number | 1700686532
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Entity Type | Organization
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Legal Business Name | ORTIZ SUNNYSIDE ASSISTED LIVING
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 14785 W WINDROSE DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5981
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Country | US
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Telephone | 623-544-9215
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Fax | 623-281-0002
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Provider Business Mailing Address
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Address Line | 14785 W WINDROSE DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5981
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Country | US
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Telephone | 623-544-9215
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Fax | 623-281-0002
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LITSAS DUMAGPI
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Credential |
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Telephone | 623-293-7024
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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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