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General NPI Number Information
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NPI Number | 1467864306
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Entity Type | Organization
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Legal Business Name | JEWELL ASSISTED LIVING MANAGEMENT INC
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 1601 LOWELL BLVD #111
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City | DENVER
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State | CO
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Zip | 80204-1545
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Country | US
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Telephone | 303-893-9300
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Fax | 303-893-4384
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Provider Business Mailing Address
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Address Line | 1601 LOWELL BLVD #111
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City | DENVER
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State | CO
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Zip | 80204-1545
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Country | US
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Telephone | 303-893-9300
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Fax | 303-893-4384
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE ROSSIE
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Credential | PH.D.
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Telephone | 303-893-9300
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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 | 2304JQ
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License Number State | CO
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