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General NPI Number Information
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NPI Number | 1780767780
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Entity Type | Organization
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Legal Business Name | AVANTE AT HARRISONBURG, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 94 SOUTH AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-2827
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Country | US
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Telephone | 540-433-2791
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Fax | 540-433-5163
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Provider Business Mailing Address
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Address Line | 4601 SHERIDAN STREET SUITE 500
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3439
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Country | US
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Telephone | 540-433-2791
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Fax | 540-433-5163
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LISA WILSON
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Credential |
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Telephone | 954-987-7180
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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 | NH2489
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License Number State | VA
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