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General NPI Number Information
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NPI Number | 1538137468
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Entity Type | Organization
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Legal Business Name | PENDER MEMORIAL HOSPITAL, INCORPORATED
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 507 EAST FREMONT STREET
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City | BURGAW
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State | NC
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Zip | 28425-5131
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Country | US
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Telephone | 910-300-4003
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Fax | 910-259-6182
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Provider Business Mailing Address
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Address Line | PO BOX 604271
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City | CHARLOTTE
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State | NC
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Zip | 28260-4271
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Country | US
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Telephone | 336-277-8757
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Fax | 336-718-8916
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RUTH ANN GLASER
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Credential |
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Telephone | 910-300-4004
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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 | H0115
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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 | HC0115
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License Number State | NC
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