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General NPI Number Information
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NPI Number | 1851187769
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Entity Type | Organization
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Legal Business Name | GABLES ON PELHAM RETIREMENT, LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1306 PELHAM RD
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City | GREENVILLE
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State | SC
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Zip | 29615-3600
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Country | US
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Telephone | 864-286-6600
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Fax | 704-246-1621
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Provider Business Mailing Address
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Address Line | 3530 TORINGDON WAY STE 204
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City | CHARLOTTE
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State | NC
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Zip | 28277-3436
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Country | US
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Telephone | 704-246-1620
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Fax | 704-246-1621
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Authorized Official
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Title or Position | CEO
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Name | BENJAMIN THOMPSON
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Credential |
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Telephone | 704-815-7341
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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 |
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