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General NPI Number Information
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NPI Number | 1073787693
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Entity Type | Organization
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Legal Business Name | SHILOH HEALTH & REHAB,LLC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 1092 WAGON WHEEL RD
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-750-3800
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Fax | 479-750-3010
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Provider Business Mailing Address
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Address Line | 1092 WAGON WHEEL RD
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-750-3800
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Fax | 479-750-3010
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Authorized Official
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Title or Position | COO
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Name | MR. DAVID LAMAR NORSWORTHY
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Credential |
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Telephone | 501-944-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | AR
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