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General NPI Number Information
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NPI Number | 1003954793
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Entity Type | Organization
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Legal Business Name | JAMESTOWNE ASSISTED LIVING
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 851 LAWNVILLE RD
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City | KINGSTON
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State | TN
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Zip | 37763-4666
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Country | US
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Telephone | 865-376-3030
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Fax | 865-376-3035
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Provider Business Mailing Address
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Address Line | 851 LAWNVILLE ROAD
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City | KINGSTON
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State | TN
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Zip | 37763-4666
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Country | US
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Telephone | 865-376-3030
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Fax | 865-376-3035
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | CHRISTINA L TRENTHAM
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Credential |
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Telephone | 865-293-6563
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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 | ACL0000000037
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License Number State | TN
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