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General NPI Number Information
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NPI Number | 1144765520
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Entity Type | Organization
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Legal Business Name | ROSE HILL FAMILY CARE HOME
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1705 BEACON BLUFF STREET
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City | RALEIGH
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State | NC
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Zip | 27604
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Country | US
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Telephone | 919-522-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 BEACON BLUFF ST
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City | RALEIGH
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State | NC
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Zip | 27604-5446
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Country | US
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Telephone | 919-522-8581
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSELINE O NWADIGO
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Credential | BSN, RN
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Telephone | 919-522-8581
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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 | FCL092220
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License Number State | NC
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