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General NPI Number Information
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NPI Number | 1326143504
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Entity Type | Organization
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Legal Business Name | HEARTLAND OF GREENSBORO, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 1131 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1007
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Country | US
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Telephone | 910-891-9026
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Fax | 910-891-9026
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Provider Business Mailing Address
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Address Line | 1131 N CHURCH STREET
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 910-891-9026
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Fax | 910-891-9026
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Authorized Official
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Title or Position | FINANCIAL CONSULTANT
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Name | MS. SHIRLEY ALLEN
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Credential |
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Telephone | 910-891-9026
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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 | NH0601
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License Number State | NC
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