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General NPI Number Information
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NPI Number | 1346244217
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Entity Type | Organization
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Legal Business Name | HANCEVILLE NURSING & REHAB CENTER INC.
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 420 MAIN ST., N.E.
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City | HANCEVILLE
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State | AL
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Zip | 35077
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Country | US
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Telephone | 256-352-9100
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Fax | 256-352-3136
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Provider Business Mailing Address
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Address Line | 420 MAIN ST., N.E.
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City | HANCEVILLE
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State | AL
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Zip | 35077
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Country | US
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Telephone | 256-352-9100
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Fax | 256-352-3136
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL PAUL VICKERS
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Credential |
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Telephone | 256-352-9100
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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 | N2203
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 09989
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License Number State | AL
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