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General NPI Number Information
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NPI Number | 1902867732
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Entity Type | Organization
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Legal Business Name | UNION COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 164 NURSING HOME CIR
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3117
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Country | US
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Telephone | 706-745-4948
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Fax | 706-745-1971
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Provider Business Mailing Address
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Address Line | 164 NURSING HOME CIR
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3117
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Country | US
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Telephone | 706-745-4948
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Fax | 706-745-1971
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Authorized Official
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Title or Position | CFO
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Name | MR. NICHOLAS COLBY TOWNSEND
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Credential |
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Telephone | 706-745-2111
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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 | 11444612
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License Number State | GA
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