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General NPI Number Information
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NPI Number | 1831819218
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Entity Type | Organization
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Legal Business Name | ALPHA CARE ONE ASSISTED LIVING LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 2060 W FIFTH ST
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City | GREENVILLE
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State | NC
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Zip | 27834-9160
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Country | US
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Telephone | 984-232-8887
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Fax | 984-232-8984
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Provider Business Mailing Address
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Address Line | PO BOX 41153
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City | RALEIGH
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State | NC
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Zip | 27629-1153
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Country | US
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Telephone | 919-819-3882
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JULIET OKWOSHAH
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Credential |
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Telephone | 919-819-3882
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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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