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General NPI Number Information
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NPI Number | 1447624895
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Entity Type | Organization
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Legal Business Name | WHITE HALL HOLDINGS LLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 9209 DOLLARWAY RD
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City | WHITE HALL
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State | AR
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Zip | 71602-2616
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Country | US
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Telephone | 870-330-9878
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Fax | 870-247-0802
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Provider Business Mailing Address
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Address Line | 9209 DOLLARWAY RD
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City | WHITE HALL
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State | AR
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Zip | 71602-2616
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Country | US
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Telephone | 870-330-9878
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Fax | 870-247-0802
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH SCHWARTZ
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Credential |
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Telephone | 201-635-1195
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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 | 1095
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License Number State | AR
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