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General NPI Number Information
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NPI Number | 1225197239
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Entity Type | Organization
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Legal Business Name | OMEGA INVESTMENTS INC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 1372 EUFOLA RD
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City | STATESVILLE
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State | NC
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Zip | 28677
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Country | US
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Telephone | 704-528-4568
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Fax | 704-528-9844
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Provider Business Mailing Address
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Address Line | 284 N EMILY CT
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City | HIGH POINT
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State | NC
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Zip | 27265
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Country | US
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Telephone | 336-869-7907
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Fax | 336-869-4090
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | MR. NICK E NIKOUYEH
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Credential | ADMINISTRATOR
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Telephone | 336-209-4000
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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 | HAL-049-003
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | HAL049003NC
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License Number State | NC
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