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General NPI Number Information
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NPI Number | 1982002580
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Entity Type | Organization
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Legal Business Name | OAKLAND PLACE, INC
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 19570 COUNTY ROAD 33
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City | FAIRHOPE
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State | AL
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Zip | 36532-4962
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Country | US
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Telephone | 251-928-5560
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Fax | 251-928-5559
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Provider Business Mailing Address
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Address Line | 19570 COUNTY ROAD 33
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City | FAIRHOPE
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State | AL
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Zip | 36532-4962
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Country | US
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Telephone | 251-928-5560
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Fax | 251-928-5559
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Authorized Official
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Title or Position | ADMINISTRATOR/REGISTERED NURSE
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Name | MRS. JOE ANN WATSON
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Credential | ALA, RN
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Telephone | 251-928-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | P0202
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License Number State | AL
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