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General NPI Number Information
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NPI Number | 1760386585
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Entity Type | Organization
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Legal Business Name | ANCHOR ASSISTED LIVING LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1238 E GREENWAY CIR
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City | MESA
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State | AZ
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Zip | 85203-4426
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Country | US
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Telephone | 480-500-1786
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 S VINE ST
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City | CHANDLER
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State | AZ
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Zip | 85286-6490
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Country | US
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Telephone | 480-500-1786
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RAJDEEP BHANVER
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Credential | CEO
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Telephone | 480-500-1786
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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 | NULL
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