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General NPI Number Information
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NPI Number | 1255779542
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Entity Type | Organization
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Legal Business Name | MONARCH
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 121 LAKESIDE DR
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City | WALNUT COVE
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State | NC
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Zip | 27052-9377
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Country | US
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Telephone | 336-591-3917
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Fax | 336-591-3917
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Provider Business Mailing Address
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Address Line | 350 PEE DEE AVE SUITE A
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City | ALBEMARLE
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State | NC
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Zip | 28001-4945
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Country | US
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Telephone | 704-986-1522
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Fax | 704-982-5279
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Authorized Official
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Title or Position | CFO
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Name | CINDY B JONES
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Credential |
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Telephone | 704-986-1522
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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