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General NPI Number Information
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NPI Number | 1487697017
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Entity Type | Organization
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Legal Business Name | SSC EQUITY HOLDINGS LLC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | ONE RAVINIA DRIVE, SUITE 1400
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City | ATLANTA
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State | GA
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Zip | 30346
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Country | US
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Telephone | 770-829-5100
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Fax | 678-443-6778
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Provider Business Mailing Address
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Address Line | ONE RAVINIA DRIVE, SUITE 1400
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City | ATLANTA
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State | GA
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Zip | 30346
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Country | US
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Telephone | 770-829-5100
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Fax | 678-443-6778
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Authorized Official
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Title or Position | BOD/OFFICER
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Name | MURRAY FORMAN
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Credential |
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Telephone | 770-829-5100
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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 |
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License Number State |
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