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General NPI Number Information
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NPI Number | 1902853781
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Entity Type | Organization
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Legal Business Name | CUMBERLAND CARE, INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 523 COUNTRY CLUB DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7613
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Country | US
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Telephone | 910-488-0711
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Fax | 910-488-8301
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Provider Business Mailing Address
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Address Line | 523 COUNTRY CLUB DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7613
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Country | US
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Telephone | 910-488-0711
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Fax | 910-488-8301
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATRICIA ROSE
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Credential |
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Telephone | 910-488-0711
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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 | NH0001
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License Number State | NC
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