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General NPI Number Information
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NPI Number | 1952354565
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Entity Type | Organization
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Legal Business Name | SUNBRIDGE REGENCY - NORTH CAROLINA, LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 707 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-3917
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Country | US
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Telephone | 336-885-0141
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SUN AVE NE COMPLIANCE DEPARTMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4373
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Country | US
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Telephone | 505-468-5604
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Fax | 610-612-5327
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Authorized Official
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Title or Position | SECRETARY
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Name | MICHAEL T BERG
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Credential |
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Telephone | 505-468-4742
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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 | NH0389
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License Number State | NC
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