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General NPI Number Information
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NPI Number | 1104800069
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Entity Type | Organization
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Legal Business Name | HAYMOUNT REHABILITATION AND NURSING CENTER, INC
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 2346 BARRINGTON CIR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4284
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Country | US
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Telephone | 910-689-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 BARRINGTON CIR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4284
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Country | US
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Telephone | 910-689-0150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT E GILLIAM
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Credential |
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Telephone | 919-467-8686
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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 | NH0454
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License Number State | NC
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