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General NPI Number Information
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NPI Number | 1518313857
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Entity Type | Organization
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Legal Business Name | THE ZION
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 2173 FORT CREEK RD
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City | FRANKLINTON
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State | NC
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Zip | 27525-8118
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Country | US
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Telephone | 919-528-5027
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Fax | 919-496-2375
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Provider Business Mailing Address
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Address Line | 2173 FORT CREEK RD
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City | FRANKLINTON
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State | NC
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Zip | 27525-8118
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Country | US
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Telephone | 919-528-5027
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Fax | 919-496-2375
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAROLYN DAVIS NEWELL
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Credential |
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Telephone | 919-453-7975
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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 | FCL039013
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License Number State | NC
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