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General NPI Number Information
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NPI Number | 1437458684
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Entity Type | Organization
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Legal Business Name | ASLC OPCO RI I, LLC
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Dates
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Enumeration Date | 03/26/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 4 SAINT JOSEPH ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-5416
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Country | US
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Telephone | 401-765-5844
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Fax | 401-765-1026
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Provider Business Mailing Address
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Address Line | 620 MAIN ST 3B
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3673
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Country | US
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Telephone | 401-398-7131
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Fax | 401-398-7313
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Authorized Official
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Title or Position | EVP/CFO
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Name | MR. JEFFREY ALEXANDER BARNHILL
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Credential |
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Telephone | 401-398-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | LTC00766
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License Number State | RI
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