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General NPI Number Information
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NPI Number | 1043814502
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Entity Type | Organization
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Legal Business Name | GLOBAL ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 6703 ALEXIS DR
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City | BOWIE
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State | MD
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Zip | 20720-4718
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Country | US
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Telephone | 301-262-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 14703 ARGYLE CLUB LN
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City | SILVER SPRING
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State | MD
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Zip | 20906-1958
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTED LIVING MANAGER
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Name | ABAYINESH ALEMU
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Credential |
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Telephone | 240-476-0703
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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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