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General NPI Number Information
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NPI Number | 1437110913
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Entity Type | Organization
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Legal Business Name | SNUG HARBOR MANAGEMENT LLC
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 272 HWY 70
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City | SEA LEVEL
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State | NC
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Zip | 28577
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Country | US
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Telephone | 252-225-4411
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Fax | 252-225-1670
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Provider Business Mailing Address
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Address Line | PO BOX 150
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City | SEA LEVEL
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State | NC
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Zip | 28577
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Country | US
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Telephone | 252-225-4411
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Fax | 252-225-1670
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. FRANK PATRICK AUSBAND
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Credential |
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Telephone | 252-225-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | NH0202
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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 | NH0202
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License Number State | NC
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