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General NPI Number Information
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NPI Number | 1538068127
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Entity Type | Organization
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Legal Business Name | FOX RIDGE AT CRESTVIEW TRS LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3310 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-7463
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Country | US
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Telephone | 501-628-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 POST RD STE 100
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City | WARWICK
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State | RI
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Zip | 02886-2217
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Country | US
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Telephone | 332-257-8770
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | JIE CHAI
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Credential |
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Telephone | 332-257-8770
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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 |
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License Number State |
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