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General NPI Number Information
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NPI Number | 1952619082
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Entity Type | Organization
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Legal Business Name | HIGHSMITH RAINEY HOSPITAL
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 150 ROBESON STREET
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City | FAYETTEVILLE
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State | NC
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Zip | 28302
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Country | US
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Telephone | 910-609-1246
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Fax |
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Provider Business Mailing Address
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Address Line | 657 STONEYKIRK DRIVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28341
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Country | US
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Telephone | 910-920-5756
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Fax |
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Authorized Official
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Title or Position | CERTIFIED RESPIRATORY THERAPIST
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Name | MRS. GINNA GAIL CORTESE
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Credential | CRT
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Telephone | 910-920-5756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 282E00000X
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License Number State | NC
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