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General NPI Number Information
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NPI Number | 1043703945
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Entity Type | Organization
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Legal Business Name | ACCORDIUS HEALTH AT GASTONIA LLC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 416 N HIGHLAND ST
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City | GASTONIA
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State | NC
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Zip | 28052
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Country | US
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Telephone | 704-864-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 980 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF ADMINISTRATIVE SERVICES
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Name | BATYA GORELICK
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Credential |
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Telephone | 704-864-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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