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General NPI Number Information
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NPI Number | 1184653677
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Entity Type | Organization
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Legal Business Name | HLTC, INC.
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 1110 BURLEYSON RD
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City | DALTON
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State | GA
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Zip | 30720-3016
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Country | US
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Telephone | 706-226-1021
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Fax | 706-278-0619
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Provider Business Mailing Address
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Address Line | 1110 BURLEYSON RD
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City | DALTON
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State | GA
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Zip | 30720-3016
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Country | US
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Telephone | 706-226-1021
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Fax | 706-278-0619
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOE WATERS
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Credential |
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Telephone | 706-226-1021
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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 | 1-155-1530
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License Number State | GA
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