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General NPI Number Information
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NPI Number | 1295704997
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH CARE / BLUMENTHAL INC
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3724 WIRELESS DR
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City | GREENSBORO
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State | NC
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Zip | 27455-3312
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Country | US
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Telephone | 336-540-9991
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Fax | 336-540-9375
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Provider Business Mailing Address
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Address Line | 3724 WIRELESS DR
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City | GREENSBORO
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State | NC
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Zip | 27455-3312
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Country | US
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Telephone | 336-540-9991
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Fax | 336-540-9375
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | CAROL PRATER
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Credential |
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Telephone | 336-633-0055
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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 | NH0135
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License Number State | NC
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