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General NPI Number Information
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NPI Number | 1982077111
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Entity Type | Organization
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Legal Business Name | NEW PARADISE LLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 5554 E CAMPO BELLO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5847
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Country | US
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Telephone | 602-380-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 5554 E CAMPO BELLO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5847
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Country | US
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Telephone | 602-380-4110
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Fax |
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Authorized Official
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Title or Position | OWENER
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Name | MISS MARIEA ILAS
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Credential |
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Telephone | 602-206-3561
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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 | AL7560H
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License Number State | AZ
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