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General NPI Number Information
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NPI Number | 1124152939
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Entity Type | Organization
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Legal Business Name | TONEY REST HOME INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 904 RALEIGH ST
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City | OXFORD
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State | NC
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Zip | 27565-3744
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Country | US
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Telephone | 919-693-2123
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Fax | 919-690-0984
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Provider Business Mailing Address
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Address Line | 904 RALEIGH ST
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City | OXFORD
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State | NC
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Zip | 27565-3744
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Country | US
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Telephone | 919-693-2123
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Fax | 919-690-0984
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES L FAULKNER JR.
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Credential |
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Telephone | 919-693-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | HAL-039-005
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License Number State | NC
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