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General NPI Number Information
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NPI Number | 1568593127
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Entity Type | Organization
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Legal Business Name | A#WES#T ADULT CARE HOME AND NURSING SERVICES, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 573 N TATUM LN
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City | GILBERT
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State | AZ
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Zip | 85234-3114
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Country | US
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Telephone | 480-354-7914
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Fax | 480-892-5611
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Provider Business Mailing Address
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Address Line | 573 N TATUM LN
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City | GILBERT
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State | AZ
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Zip | 85234-3114
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Country | US
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Telephone | 480-354-7914
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Fax | 480-892-5611
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Authorized Official
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Title or Position | VICE PRESIDENT /SECRETARY
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Name | APRIL STILL
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Credential | RN
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Telephone | 480-354-7914
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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 | ALH-4817
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License Number State | AZ
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