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General NPI Number Information
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NPI Number | 1235134909
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Entity Type | Organization
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Legal Business Name | HILL TOP HOME OF COMFORT, INC.
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 95 HILL TOP DR
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City | KILLDEER
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State | ND
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Zip | 58640-0780
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Country | US
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Telephone | 701-764-5682
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Fax | 701-764-5749
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Provider Business Mailing Address
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Address Line | PO BOX 780
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City | KILLDEER
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State | ND
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Zip | 58640-0780
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Country | US
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Telephone | 701-764-5682
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Fax | 701-764-5749
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GREG ALLEN ARMITAGE
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Credential | NHA
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Telephone | 701-764-5682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4070A
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1062A
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License Number State | ND
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