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General NPI Number Information
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NPI Number | 1629279724
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Entity Type | Organization
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Legal Business Name | SPRING ROAD REST HOME
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 4109 SPRINGS RD
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City | CONOVER
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State | NC
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Zip | 28613-6710
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Country | US
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Telephone | 828-441-7947
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Fax | 828-441-9974
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Provider Business Mailing Address
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Address Line | 4109 SPRINGS RD
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City | CONOVER
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State | NC
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Zip | 28613-6710
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Country | US
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Telephone | 828-441-7947
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Fax | 828-441-9974
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SIMONA LONCA
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Credential |
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Telephone | 828-441-7947
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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 | FCL018006
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License Number State | NC
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