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General NPI Number Information
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NPI Number | 1700045820
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH GROUP, INC.
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 110 DIVISION STREET
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City | NORLINA
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State | NC
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Zip | 27563-0149
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Country | US
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Telephone | 252-456-2009
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Fax | 252-456-2889
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Provider Business Mailing Address
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Address Line | PO BOX 640
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-0640
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Country | US
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Telephone | 252-536-5440
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Fax | 252-536-5444
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Authorized Official
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Title or Position | CEO
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Name | MR. BRIAN O. HARRIS
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Credential |
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Telephone | 252-536-5871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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