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General NPI Number Information
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NPI Number | 1932368586
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Entity Type | Organization
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Legal Business Name | LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
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Dates
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Enumeration Date | 06/07/2008
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Last Update Date | 06/07/2008
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Provider Practice Location Address
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Address Line | 3810 HERITAGE DR
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City | BURLINGTON
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State | NC
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Zip | 27215-9730
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Country | US
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Telephone | 336-585-2401
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Fax | 336-585-2439
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Provider Business Mailing Address
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Address Line | 100 WADE COBLE DR
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City | BURLINGTON
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State | NC
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Zip | 27215-9756
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Country | US
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Telephone | 336-538-1501
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Fax | 336-538-1504
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHARLES R HARRIS
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Credential |
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Telephone | 336-538-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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