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General NPI Number Information
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NPI Number | 1104369073
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Entity Type | Organization
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Legal Business Name | LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 1570 NC 8 AND 89 HWY N
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City | DANBURY
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State | NC
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Zip | 27016-7360
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Country | US
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Telephone | 336-593-5311
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Fax | 336-593-5350
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Provider Business Mailing Address
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Address Line | 1570 NC 8 AND 89 HWY N
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City | DANBURY
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State | NC
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Zip | 27016-7360
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Country | US
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Telephone | 336-593-5311
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Fax | 336-593-5350
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTIAN FLETCHER
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Credential |
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Telephone | 336-593-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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