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General NPI Number Information
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NPI Number | 1689880890
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Entity Type | Organization
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Legal Business Name | WESTSIDE ASSISTED LIVING I
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 RICHLAND ST
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City | ASHEVILLE
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State | NC
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Zip | 28806-4625
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Country | US
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Telephone | 828-281-4863
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Fax |
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Provider Business Mailing Address
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Address Line | 119 RICHLAND STREET
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City | ASHEVILLE
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State | NC
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Zip | 28806
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Country | US
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Telephone | 828-281-4863
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROBIN RATCLIFF
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Credential |
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Telephone | 828-281-4863
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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 | FCL011232
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License Number State | NC
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