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General NPI Number Information
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NPI Number | 1124125166
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Entity Type | Organization
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Legal Business Name | K.R.RAM-Z II LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3032 NC HIGHWAY 16 S
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-6295
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Country | US
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Telephone | 828-632-4443
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Fax | 828-635-7333
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Provider Business Mailing Address
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Address Line | 2251 SALLIES LN
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City | WINSTON SALEM
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State | NC
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Zip | 27106-8613
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Country | US
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Telephone | 336-922-5162
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Fax | 336-922-2074
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENNETH RAY RAMSEY
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Credential |
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Telephone | 336-922-5162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 7805438
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License Number State | NC
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