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General NPI Number Information
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NPI Number | 1316236144
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Entity Type | Organization
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Legal Business Name | NORTHAVEN ASSISTED LIVING
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 11045 8TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-6163
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Country | US
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Telephone | 206-365-3020
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Fax | 206-365-0267
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Provider Business Mailing Address
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Address Line | 11045 8TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-6163
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Country | US
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Telephone | 206-365-3020
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Fax | 206-365-0267
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DARLENE S STORTI
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Credential |
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Telephone | 206-365-3020
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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 | BH980
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License Number State | WA
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