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General NPI Number Information
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NPI Number | 1194199778
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Entity Type | Organization
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Legal Business Name | WHITEHILLS HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 1843 N HAGADORN RD
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City | EAST LANSING
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State | MI
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Zip | 48823-2229
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Country | US
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Telephone | 517-332-5061
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Fax | 517-332-5063
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Provider Business Mailing Address
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Address Line | 1843 N HAGADORN RD
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City | EAST LANSING
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State | MI
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Zip | 48823-2229
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Country | US
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Telephone | 517-332-5061
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Fax | 517-332-5063
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Authorized Official
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Title or Position | CFO
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Name | MR. CHAUNCEY R DUNBAR
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Credential | CPA
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Telephone | 601-956-1013
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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 | 334100
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License Number State | MI
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