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General NPI Number Information
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NPI Number | 1770091357
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Entity Type | Organization
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Legal Business Name | LNH ONE LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 1010 BARNES ST
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City | LONOKE
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State | AR
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Zip | 72086-2003
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Country | US
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Telephone | 501-676-3700
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Fax | 501-676-3701
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Provider Business Mailing Address
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Address Line | 455 E PACES FERRY RD NE STE 302
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City | ATLANTA
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State | GA
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Zip | 30305-3320
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Country | US
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Telephone | 404-386-9607
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTOPHER BROGDON
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Credential |
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Telephone | 404-386-9607
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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 |
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License Number State | AR
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