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NPI 1225279755

NPI 1225279755 : UNIVERSAL HEALTH CARE GREENVILLE, INC : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1225279755
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSAL HEALTH CARE GREENVILLE, INC 
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Dates
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    Enumeration Date     |    03/12/2009
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    Last Update Date     |    11/18/2022
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Provider Practice Location Address
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    Address Line         |    2578 W 5TH ST 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-7812
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    Country              |    US
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    Telephone            |    252-758-7100
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    Fax                  |    252-758-1485
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Provider Business Mailing Address
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    Address Line         |    301 10TH ST NW STE B-2 
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    City                 |    CONOVER
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    State                |    NC
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    Zip                  |    28613-2419
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    Country              |    US
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    Telephone            |    828-464-1817
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    Fax                  |    828-464-8137
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     ALAN  BEAVER 
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    Credential           |    
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    Telephone            |    828-459-2977
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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       |    
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    License Number State |    
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