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General NPI Number Information
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NPI Number | 1427024991
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Entity Type | Organization
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Legal Business Name | HUNTINGTON HEALTH CARE AND RETIREMENT CENTER INC
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 311 S CAMPBELL ST
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City | BURGAW
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State | NC
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Zip | 28425-5011
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Country | US
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Telephone | 910-259-6007
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Fax | 910-259-6111
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Provider Business Mailing Address
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Address Line | 311 S CAMPBELL ST
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City | BURGAW
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State | NC
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Zip | 28425-5011
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Country | US
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Telephone | 910-259-6007
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Fax | 910-259-6111
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JASON PEOPLES
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Credential |
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Telephone | 910-259-6007
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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 | NH0461
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License Number State | NC
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