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General NPI Number Information
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NPI Number | 1972705630
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Entity Type | Organization
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Legal Business Name | DIGNITY FIRST INC.
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2594 S MOUNTAIN VIEW DR
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City | COTTONWOOD
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State | AZ
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Zip | 86326-5901
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Country | US
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Telephone | 928-639-4364
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1002
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City | CAMP VERDE
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State | AZ
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Zip | 86322-1002
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Country | US
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Telephone | 928-300-6993
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Fax | 928-639-4398
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Authorized Official
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Title or Position | LICENSED ASSISTED LIVING MANAGER
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Name | MR. ROBERT W WEBSTER
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Credential | LALFM
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Telephone | 928-300-6993
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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 | ALH-5061
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License Number State | AZ
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