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General NPI Number Information
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NPI Number | 1255245064
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Entity Type | Organization
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Legal Business Name | REBOS COLIVING LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 209 S EASTERN ST
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City | GREENVILLE
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State | NC
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Zip | 27858-2136
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Country | US
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Telephone | 252-818-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 EVANS ST STE 206
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City | GREENVILLE
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State | NC
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Zip | 27834-5303
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Country | US
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Telephone | 252-818-4450
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANITA MOORE
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Credential |
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Telephone | 252-818-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | NULL
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