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General NPI Number Information
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NPI Number | 1700872389
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Entity Type | Organization
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Legal Business Name | GREENFIELD PLACE, LLC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2575 W FIFTH ST
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City | GREENVILLE
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State | NC
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Zip | 27834-7813
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Country | US
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Telephone | 252-830-9100
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Fax | 252-830-8901
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Provider Business Mailing Address
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Address Line | 2575 W FIFTH ST
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City | GREENVILLE
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State | NC
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Zip | 27834-7813
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Country | US
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Telephone | 252-830-9100
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Fax | 252-830-8901
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Authorized Official
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Title or Position | OWNER
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Name | MR. JASON SHERRILL
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Credential |
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Telephone | 252-830-9100
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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 | NH0505
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License Number State | NC
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