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General NPI Number Information
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NPI Number | 1316150105
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Entity Type | Organization
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Legal Business Name | GRAVES FAMILY CARE
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 222 GUTHRIE ST
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City | GRAHAM
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State | NC
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Zip | 27253-2201
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Country | US
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Telephone | 336-222-1462
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Fax |
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Provider Business Mailing Address
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Address Line | 222 GUTHRIE ST
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City | GRAHAM
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State | NC
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Zip | 27253-2201
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Country | US
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Telephone | 336-222-1462
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. HELEN GRAVES
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Credential |
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Telephone | 336-222-1462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL001014
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License Number State | NC
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