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General NPI Number Information
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NPI Number | 1093867244
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Entity Type | Organization
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Legal Business Name | SAINTES ASSISTED INDEPENDENT LIVING
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 962 MANSON AXTELL RD
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City | NORLINA
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State | NC
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Zip | 27563-9451
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Country | US
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Telephone | 252-456-2060
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Fax | 252-456-2795
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Provider Business Mailing Address
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Address Line | 962 MANSON AXTELL RD
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City | NORLINA
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State | NC
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Zip | 27563-9451
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Country | US
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Telephone | 252-456-2060
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Fax | 252-456-2795
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. INEZ M MYLES
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Credential |
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Telephone | 252-456-2090
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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 | HAL-093-003
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License Number State | NC
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