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General NPI Number Information
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NPI Number | 1437529898
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Entity Type | Organization
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Legal Business Name | ROBIN'S NEST FAMILY CARE HOME LLC
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 1514 SUNSET TER
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City | WHITEVILLE
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State | NC
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Zip | 28472-8567
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Country | US
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Telephone | 910-914-6015
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Fax | 910-207-6708
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Provider Business Mailing Address
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Address Line | 1514 SUNSET TER
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City | WHITEVILLE
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State | NC
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Zip | 28472-8567
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Country | US
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Telephone | 910-914-6015
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Fax | 910-207-6708
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBIN H LANDRUM
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Credential |
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Telephone | 910-914-6015
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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 | FCL-024-016
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License Number State | NC
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