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General NPI Number Information
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NPI Number | 1306072822
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Entity Type | Organization
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Legal Business Name | PREFERRED ASSISTED LIVING, INC.
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 5500 SAN MATEO BLVD NE SUITE 114
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6299
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Country | US
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Telephone | 505-884-3830
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Fax | 505-828-1091
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Provider Business Mailing Address
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Address Line | 5500 SAN MATEO BLVD NE SUITE 114
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6299
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Country | US
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Telephone | 505-884-3830
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Fax | 505-828-1091
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. MATTHEW RAYMOND AYERS
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Credential |
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Telephone | 505-884-3830
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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 | 2064
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2125
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2024
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 5777
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2065
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2068
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2084
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License Number State | NM
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