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General NPI Number Information
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NPI Number | 1649396698
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Entity Type | Organization
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Legal Business Name | RICHLAND COMMUNITY CARE 1&2
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 290 KILLIAN ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-4264
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Country | US
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Telephone | 828-452-0456
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Fax | 828-452-0114
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Provider Business Mailing Address
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Address Line | 290 KILLIAN ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-4264
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Country | US
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Telephone | 828-452-0456
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Fax | 828-452-0114
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BARBARA HANNAH
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Credential | ADMINISTRATOR OF BRO
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Telephone | 828-452-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | HAL-044-027
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License Number State | NC
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