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General NPI Number Information
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NPI Number | 1518285493
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Entity Type | Organization
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Legal Business Name | GRANVILLE HEALTH SYSTEM
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1040 COLLEGE STREET EXT
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City | OXFORD
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State | NC
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Zip | 27565-1642
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Country | US
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Telephone | 919-690-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 COLLEGE STREET EXT
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City | OXFORD
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State | NC
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Zip | 27565
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Country | US
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Telephone | 919-690-0471
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMIE PURVIS
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Credential |
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Telephone | 919-690-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1307
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License Number State | NC
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