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General NPI Number Information
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NPI Number | 1790696730
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Entity Type | Organization
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Legal Business Name | MEADOW LAKES ASSISTED LIVING
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 4553 W AMANDA DR
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City | WASILLA
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State | AK
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Zip | 99623-1046
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Country | US
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Telephone | 907-414-9332
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Fax |
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Provider Business Mailing Address
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Address Line | 2731 E BEECH WAY
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City | WASILLA
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State | AK
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Zip | 99654-7412
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Country | US
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Telephone | 907-414-9332
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Fax |
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Authorized Official
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Title or Position | ADMIN/OWNER
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Name | APRIL ANN APRIL
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Credential |
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Telephone | 907-414-9332
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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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