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General NPI Number Information
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NPI Number | 1528199395
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Entity Type | Organization
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Legal Business Name | AUTUMN SPRINGS ASSISTED LIVING
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3758 AVENUE B
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City | BILLINGS
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State | MT
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Zip | 59102-7640
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Country | US
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Telephone | 406-656-0422
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Fax | 406-656-1665
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Provider Business Mailing Address
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Address Line | 3758 AVENUE B
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City | BILLINGS
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State | MT
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Zip | 59102-7640
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Country | US
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Telephone | 406-656-0422
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Fax | 406-656-1665
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DORIS BACKUS
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Credential |
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Telephone | 406-656-0422
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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 | 10822
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License Number State | MT
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