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General NPI Number Information
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NPI Number | 1861175473
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Entity Type | Organization
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Legal Business Name | NORTHPOINTE SENIOR ASSISTED LIVING
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 13172 W WOODSTOCK RD
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City | PEORIA
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State | AZ
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Zip | 85383-6072
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Country | US
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Telephone | 623-206-7386
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Fax | 602-883-7265
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Provider Business Mailing Address
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Address Line | 6616 W GOLD MOUNTAIN PASS
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City | PHOENIX
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State | AZ
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Zip | 85083-7454
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Country | US
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Telephone | 623-206-7386
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Fax | 602-883-7265
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Authorized Official
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Title or Position | CEO
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Name | MS. EVELYN JUSTIMBASTE
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Credential | RN, BSN
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Telephone | 623-206-7386
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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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