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General NPI Number Information
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NPI Number | 1518952118
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Entity Type | Organization
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Legal Business Name | THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 5680 WINDY HILL DR
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City | WINSTON-SALEM
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State | NC
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Zip | 27105-1425
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Country | US
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Telephone | 336-744-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 5680 WINDY HILL DR
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City | WINSTON-SALEM
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State | NC
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Zip | 27105-1425
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Country | US
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Telephone | 336-744-1188
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TAMMY H CHANDLER
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Credential | MBA
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Telephone | 336-776-5057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH0548
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0548
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License Number State | NC
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