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General NPI Number Information
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NPI Number | 1144680786
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Entity Type | Organization
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Legal Business Name | ART ENTERPRISE OF PITT CO.
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 110 PEARL DR
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City | GREENVILLE
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State | NC
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Zip | 27834-8517
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Country | US
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Telephone | 252-756-2120
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Fax | 252-756-2120
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Provider Business Mailing Address
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Address Line | 2813 BLOSSOM PL
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City | WINTERVILLE
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State | NC
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Zip | 28590-8703
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Country | US
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Telephone | 252-756-2120
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Fax | 252-756-2120
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Authorized Official
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Title or Position | ADMINISTRATION/OWNER
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Name | TAMMY S VINES
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Credential | LICENSE FAMILY CARE
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Telephone | 252-531-6710
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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 | FCL-074-041
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License Number State | NC
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