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General NPI Number Information
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NPI Number | 1538565338
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Entity Type | Organization
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Legal Business Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 1404 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-3406
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Country | US
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Telephone | 980-487-7439
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Fax | 980-487-7416
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Provider Business Mailing Address
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Address Line | 201 E GROVER ST
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City | SHELBY
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State | NC
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Zip | 28150-3917
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Country | US
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Telephone | 980-487-7439
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Fax | 980-487-7439
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Authorized Official
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Title or Position | EXECUTIVE VP/CFO
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Name | GREG A GOMBAR
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Credential |
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Telephone | 704-355-2154
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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 |
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License Number State | NC
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