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General NPI Number Information
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NPI Number | 1013441377
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Entity Type | Organization
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Legal Business Name | ASSISTED LIVING ALTERNATIVES
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 708 27TH AVE
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City | MILTON
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State | WA
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Zip | 98354-9300
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Country | US
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Telephone | 253-952-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 708 27TH AVE
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City | MILTON
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State | WA
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Zip | 98354-9300
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Country | US
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Telephone | 253-952-2052
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | JACQUELINE SARAH ANNE BEECH
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Credential | NAR
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Telephone | 253-632-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 678600
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License Number State | WA
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