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General NPI Number Information
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NPI Number | 1396747689
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Entity Type | Organization
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Legal Business Name | FLESHERS FAIRVIEW HEALTH CARE
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 3016 CANE CREEK RD
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City | FAIRVIEW
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State | NC
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Zip | 28730-8743
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Country | US
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Telephone | 828-628-2800
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Fax | 828-628-0209
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Provider Business Mailing Address
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Address Line | PO BOX 1160
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City | FAIRVIEW
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State | NC
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Zip | 28730-1160
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Country | US
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Telephone | 828-628-2800
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Fax | 828-628-0209
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHERI TALBOT MITCHELL
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Credential | RN, NHA
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Telephone | 828-628-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH0517
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License Number State | NC
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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 | NH0517
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License Number State | NC
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