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General NPI Number Information
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NPI Number | 1790442226
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Entity Type | Organization
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Legal Business Name | MEADOW VISTA ASSISTED LIVING, LLC - WALDEN
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 7243 W WALDEN DR
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City | LITTLETON
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State | CO
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Zip | 80128-5426
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Country | US
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Telephone | 720-320-7719
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Fax |
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Provider Business Mailing Address
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Address Line | 8741 HUNTERS HILL LN
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City | LITTLETON
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State | CO
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Zip | 80125-9123
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Country | US
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Telephone | 720-320-7719
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. SANJAY ARYAL
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Credential |
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Telephone | 720-320-7719
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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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