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General NPI Number Information
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NPI Number | 1932092392
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Entity Type | Organization
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Legal Business Name | SHAMBHALA LIVING, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 4839 E CHARLESTON AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7543
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Country | US
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Telephone | 480-664-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 4839 E CHARLESTON AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7543
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Country | US
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Telephone | 480-664-9555
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. CLAUDIA OPRITESCU
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Credential |
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Telephone | 602-405-3233
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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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