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General NPI Number Information
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NPI Number | 1891722187
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Entity Type | Organization
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Legal Business Name | BROSIS MANAGEMENT OF CATAWBA COUNTY
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 920 4TH STREET SW
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City | CONOVER
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State | NC
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Zip | 28613-9679
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Country | US
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Telephone | 828-695-8282
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Fax | 828-695-8218
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Provider Business Mailing Address
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Address Line | P.O. BOX 1718 920 4TH STREET SW
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City | CONOVER
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State | NC
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Zip | 28613-9679
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Country | US
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Telephone | 828-695-8282
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Fax | 828-695-8218
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSHUA ANTHONY SHERRILL
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Credential |
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Telephone | 828-695-8282
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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 | NH0603
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License Number State | NC
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