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General NPI Number Information
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NPI Number | 1518037233
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Entity Type | Organization
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Legal Business Name | HOLLY HILL HOSPITAL LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 3019 FALSTAFF RD
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-250-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 FALSTAFF RD
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City | RALEIGH
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State | NC
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Zip | 27610-1812
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Country | US
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Telephone | 919-250-7000
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Fax |
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 60034722
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License Number State | NC
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