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General NPI Number Information
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NPI Number | 1568766491
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Entity Type | Organization
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Legal Business Name | ARV ASSISTED LIVING, INC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 4880 SUMMIT RIDGE DR
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City | RENO
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State | NV
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Zip | 89523-7980
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Country | US
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Telephone | 775-787-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 4880 SUMMIT RIDGE DR
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City | RENO
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State | NV
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Zip | 89523-7980
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Country | US
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Telephone | 775-787-3000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN MOORE
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Credential |
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Telephone | 502-779-7608
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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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