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General NPI Number Information
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NPI Number | 1104950765
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Entity Type | Organization
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Legal Business Name | DGS HEALTHCARE ELKIN INC DBA CHATHAM NURSING AND REHABILITATION
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 700 JOHNSON RIDGE ROAD
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City | ELKIN
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State | NC
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Zip | 28621
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Country | US
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Telephone | 336-527-7600
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Fax | 336-527-7666
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Provider Business Mailing Address
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Address Line | 700 JOHNSON RODGE ROAD
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City | ELKIN
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State | NC
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Zip | 28621
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Country | US
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Telephone | 336-527-7600
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Fax | 336-527-7666
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT E. GILLIAM
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Credential |
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Telephone | 336-527-7312
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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 | H0049
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0640
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License Number State | NC
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