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General NPI Number Information
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NPI Number | 1891738977
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Entity Type | Organization
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Legal Business Name | STATESVILLE HMA INC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 218 OLD MOCKSVILLE RD
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City | STATESVILLE
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State | NC
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Zip | 28625-1930
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Country | US
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Telephone | 704-838-7102
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Fax |
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Provider Business Mailing Address
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Address Line | 218 OLD MOCKSVILLE RD
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City | STATESVILLE
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State | NC
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Zip | 28625-1930
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Country | US
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Telephone | 704-838-7102
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Fax |
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Authorized Official
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Title or Position | SR VP AND GENERAL COUNSEL
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Name | TIMOTHY PARRRY
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Credential | ESQ
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Telephone | 239-598-3176
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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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