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General NPI Number Information
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NPI Number | 1124248984
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Entity Type | Organization
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Legal Business Name | GUILFORD ADULT CARE INC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 2322 NEWTON ST
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City | GREENSBORO
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State | NC
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Zip | 27401
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Country | US
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Telephone | 336-273-2383
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Fax | 336-294-4791
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Provider Business Mailing Address
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Address Line | PO BOX 5522 2322 NEWTON
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City | GREENSBORO
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State | NC
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Zip | 27406
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Country | US
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Telephone | 336-294-5890
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Fax | 336-294-4791
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEROME FOX
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Credential |
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Telephone | 336-294-7656
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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 | FCL-041-012
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-041-018
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License Number State | NC
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