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General NPI Number Information
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NPI Number | 1801901319
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Entity Type | Organization
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Legal Business Name | AVERY ASSOCIATION FOR EXCEPTIONAL CITIZENS, INC.
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 198 CEMETERY RD
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City | NEWLAND
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State | NC
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Zip | 28657-8829
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Country | US
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Telephone | 828-733-1273
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Fax | 828-733-5251
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Provider Business Mailing Address
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Address Line | 198 CEMETERY RD P.O. BOX 176
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City | NEWLAND
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State | NC
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Zip | 28657-8829
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Country | US
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Telephone | 828-733-1273
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Fax | 828-733-5251
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBORAH L POWERS
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Credential | MS,QDDP
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Telephone | 828-733-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | MHL006006
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License Number State | NC
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