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General NPI Number Information
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NPI Number | 1790670198
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Entity Type | Organization
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Legal Business Name | MEADOWS ASSISTED LIVING LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 22412 N 101ST AVE
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City | PEORIA
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State | AZ
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Zip | 85383-3572
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Country | US
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Telephone | 623-418-9551
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Fax |
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Provider Business Mailing Address
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Address Line | 22412 N 101ST AVE
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City | PEORIA
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State | AZ
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Zip | 85383-3572
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ANDREI CATUNA
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Credential |
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Telephone | 623-418-9551
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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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