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General NPI Number Information
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NPI Number | 1174685150
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Entity Type | Organization
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Legal Business Name | HEALTH TRUST LLC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 200 HERITAGE WAY
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-0713
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Country | US
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Telephone | 828-693-5849
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Fax | 828-697-5707
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Provider Business Mailing Address
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Address Line | 200 HERITAGE CIR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-0713
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Country | US
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Telephone | 828-693-5849
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Fax | 828-693-8543
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | THOMAS D JOHNSON
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Credential |
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Telephone | 423-478-5953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0382
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License Number State | NC
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