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General NPI Number Information
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NPI Number | 1700683851
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Entity Type | Organization
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Legal Business Name | BROOKSTONE TERRACE OF GREENSBORO
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3896 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27455-2596
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Country | US
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Telephone | 336-286-1235
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Fax | 336-286-9863
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Provider Business Mailing Address
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Address Line | 915 W COOKSEY DR
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City | THOMASVILLE
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State | NC
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Zip | 27360-3359
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Country | US
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Telephone | 336-472-7171
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Fax | 336-472-8270
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YVONNE D PETERSON
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Credential |
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Telephone | 336-687-2580
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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 |
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License Number State |
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