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General NPI Number Information
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NPI Number | 1982854337
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Entity Type | Organization
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Legal Business Name | NORTH RIDGE ASSISTED LIVING #4 AND #5
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 75 KUYKENDALL BRANCH ROAD
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City | ASHEVILLE
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State | NC
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Zip | 28804-9612
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Country | US
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Telephone | 828-281-4863
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Fax | 828-281-4863
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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 | 28806-4625
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Country | US
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Telephone | 828-281-4863
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Fax | 828-281-4863
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ROBIN CASE RATCLIFF
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Credential | LICENSED ADMINISTRAT
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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 | FCL011275
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | FCL011276
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License Number State | NC
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