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General NPI Number Information
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NPI Number | 1023276110
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Entity Type | Organization
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Legal Business Name | ASHLEY PLACE
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 538 WARRINER ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-3053
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Country | US
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Telephone | 336-280-5069
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Fax | 336-342-5864
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Provider Business Mailing Address
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Address Line | PO BOX 4074
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City | EDEN
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State | NC
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Zip | 27289-4074
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Country | US
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Telephone | 336-280-5069
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Fax | 336-342-8564
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Authorized Official
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Title or Position | ADM
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Name | MS. SABRINA HARRIS
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Credential |
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Telephone | 336-280-5069
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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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