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General NPI Number Information
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NPI Number | 1700208014
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Entity Type | Organization
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Legal Business Name | HILLSBORO MANOR NURSING HOME, INC.
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 1700 E SHORT HILLSBORO ST
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City | EL DORADO
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State | AR
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Zip | 71730-6458
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Country | US
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Telephone | 870-862-5124
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Fax | 870-881-8053
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Provider Business Mailing Address
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Address Line | 1700 E SHORT HILLSBORO ST
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City | EL DORADO
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State | AR
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Zip | 71730-6458
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Country | US
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Telephone | 870-862-5124
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Fax | 870-881-8053
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARNE ABEL
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Credential |
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Telephone | 870-862-5124
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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 | 545
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License Number State | AR
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