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General NPI Number Information
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NPI Number | 1871656504
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Entity Type | Organization
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Legal Business Name | RHA HEALTH SERVICES NC, LLC
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 09/19/2015
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Provider Practice Location Address
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Address Line | 500 SEAN DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7839
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Country | US
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Telephone | 252-758-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 PEACHTREE RD NE STE 450
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City | ATLANTA
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State | GA
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Zip | 30309-1848
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Country | US
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Telephone | 404-364-2900
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Fax | 404-364-2901
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | JENNIFER LOZANO
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Credential |
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Telephone | 404-968-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL-074-030
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | MHL-074-030
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License Number State | NC
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