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General NPI Number Information
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NPI Number | 1376098244
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Entity Type | Organization
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Legal Business Name | TRANSYLVANIA COMMUNITY HOSPITAL INC.
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 490 HOSPITAL DR
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City | CLYDE
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State | NC
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Zip | 28721-8026
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Country | US
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Telephone | 828-454-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 260 HOSPITAL DR
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City | BREVARD
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State | NC
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Zip | 28712-3378
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Country | US
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Telephone | 828-884-9111
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TIMOTHY GENTILCORE
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Credential | PHARMD
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Telephone | 828-213-0048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12998
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License Number State | NC
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