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General NPI Number Information
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NPI Number | 1124015458
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Entity Type | Organization
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Legal Business Name | EVERYAGE
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 100 HEDRICK DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-6009
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Country | US
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Telephone | 336-472-2017
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Fax | 336-474-3895
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Provider Business Mailing Address
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Address Line | 100 HEDRICK DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-6009
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Country | US
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Telephone | 336-472-2017
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Fax | 336-474-3895
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | LEE B SYRIA
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Credential |
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Telephone | 828-465-8019
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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 |
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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 | NH0390
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License Number State | NC
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