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NPI 1366492118

NPI 1366492118 : ANNE MARIA REHAB AND NURSING CTR : NORTH AUGUSTA, SC

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General NPI Number Information
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    NPI Number           |    1366492118
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE MARIA REHAB AND NURSING CTR 
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Dates
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    Enumeration Date     |    05/11/2006
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    Last Update Date     |    02/13/2009
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Provider Practice Location Address
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    Address Line         |    1200 TALISMAN DR 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841-4032
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    Country              |    US
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    Telephone            |    803-278-0011
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    Fax                  |    803-442-9344
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Provider Business Mailing Address
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    Address Line         |    1200 TALISMAN DR 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841-4032
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    Country              |    US
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    Telephone            |    803-278-0011
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    Fax                  |    803-442-9344
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. NOTA FELTHAM GINN 
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    Credential           |    
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    Telephone            |    803-278-0011
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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       |    NCF721
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    License Number State |    SC
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