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General NPI Number Information
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NPI Number | 1215205653
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW ASSISTED LIVING, INC
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 260 CENTERWAY DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-7074
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Country | US
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Telephone | 828-692-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 260 CENTERWAY DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-7074
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Country | US
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Telephone | 828-692-9960
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Fax |
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Authorized Official
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Title or Position | ADMIN/ PRES/CEO
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Name | MR. ROBERT CRUMMIE
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Credential |
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Telephone | 828-676-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | HAL 045112J
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License Number State | NC
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