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General NPI Number Information
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NPI Number | 1821157256
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Entity Type | Organization
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Legal Business Name | HOPEWELL CARE INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 141 FOX RUN
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City | FOREST CITY
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State | NC
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Zip | 28043
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Country | US
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Telephone | 828-245-3592
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Fax | 828-286-1427
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Provider Business Mailing Address
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Address Line | 358 SHADY WOODS LN
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City | RUTHERFORDTON
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State | NC
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Zip | 28139
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Country | US
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Telephone | 828-447-5523
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Fax | 828-286-1427
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Authorized Official
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Title or Position | ADMINISRATOR
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Name | MR. OLEG DINOVETSKIY
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Credential |
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Telephone | 828-245-3592
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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 | FCL-081-043
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License Number State | NC
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