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General NPI Number Information
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NPI Number | 1346469475
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Entity Type | Organization
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Legal Business Name | ASH GERIATRICS LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 406 S CASCADE ST
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City | RITZVILLE
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State | WA
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Zip | 99169-1500
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Country | US
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Telephone | 509-659-4717
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Fax | 509-659-4716
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Provider Business Mailing Address
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Address Line | 34620 N SHORT RD
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City | DEER PARK
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State | WA
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Zip | 99006-8513
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Country | US
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Telephone | 509-276-1865
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Fax | 509-276-9691
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Authorized Official
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Title or Position | PRINCIPAL
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Name | RON SEMINGSON
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Credential |
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Telephone | 509-276-1865
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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 | BH-1743
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License Number State | WA
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