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General NPI Number Information
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NPI Number | 1174477301
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Entity Type | Organization
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Legal Business Name | AUERBACH IV-ARCTOS PROPERTY OWNER LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1315 2ND AVE N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3694
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Country | US
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Telephone | 904-829-6479
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 FAIRVIEW RD
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City | CHARLOTTE
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State | NC
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Zip | 28210-2224
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Country | US
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Telephone | 503-784-6516
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MASON RIPPEY
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Credential |
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Telephone | 503-784-6516
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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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