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General NPI Number Information
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NPI Number | 1538475892
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Entity Type | Organization
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Legal Business Name | NUTZ R US
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 290 DEAVERVIEW RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-1311
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Country | US
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Telephone | 828-273-6931
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Fax |
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Provider Business Mailing Address
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Address Line | 356 OLD COUNTY HOME RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-9492
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Country | US
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Telephone | 828-273-6931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FORRESTENE MUCKELVENE
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Credential |
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Telephone | 828-273-6931
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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 | FCL 011 307
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License Number State | NC
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