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General NPI Number Information
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NPI Number | 1073761896
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Entity Type | Organization
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Legal Business Name | THE JADE GARDEN
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 70 WOODFIN PL STE 214
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City | ASHEVILLE
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State | NC
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Zip | 28801-2467
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Country | US
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Telephone | 828-442-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 334 W COURT ST
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City | MARION
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State | NC
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Zip | 28752-3912
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Country | US
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Telephone | 828-442-2828
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS CHAVERS
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Credential |
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Telephone | 828-442-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 6063
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License Number State | NC
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