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General NPI Number Information
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NPI Number | 1982004842
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Entity Type | Organization
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Legal Business Name | NIGHTNGAIL ASSISTED LIVING
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 7621 PROSPECT AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4617
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Country | US
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Telephone | 505-797-0927
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Fax | 505-797-0927
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Provider Business Mailing Address
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Address Line | 7621 PROSPECT AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4617
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Country | US
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Telephone | 505-797-0927
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Fax | 505-797-0927
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | KATHLEEN FRANKLIN
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Credential |
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Telephone | 505-974-1988
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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 | CU00010720
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License Number State | NM
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