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General NPI Number Information
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NPI Number | 1750418802
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Entity Type | Organization
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Legal Business Name | ALAMANCE EXTENDED CARE, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1860 BROOKWOOD AVE
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City | BURLINGTON
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State | NC
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Zip | 27215-3200
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Country | US
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Telephone | 336-570-8456
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Fax | 336-570-8460
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Provider Business Mailing Address
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Address Line | 1860 BROOKWOOD AVE
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City | BURLINGTON
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State | NC
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Zip | 27215-3200
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Country | US
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Telephone | 336-570-8456
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Fax | 336-570-8460
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Authorized Official
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Title or Position | CFO
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Name | MR. JAMES MICHAEL BENTON
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Credential |
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Telephone | 336-570-8458
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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 | NH0596
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License Number State | NC
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