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General NPI Number Information
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NPI Number | 1952652471
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Entity Type | Organization
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Legal Business Name | RHA NORTH CAROLINA MR INC
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 3060 PEACHTREE RD NW SUITE 900
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City | ATLANTA
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State | GA
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Zip | 30305-2236
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Country | US
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Telephone | 404-364-2900
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Fax | 404-364-2901
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Provider Business Mailing Address
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Address Line | 404 SKEET CLUB RD
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City | HIGH POINT
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State | NC
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Zip | 27265-1236
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Country | US
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Telephone | 336-885-5090
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Fax | 336-885-5092
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Authorized Official
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Title or Position | VICE PRESIDENT - FINANCIAL SERVICES
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Name | KAREN LYN ORSINI
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Credential | MBA
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Telephone | 404-364-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | MHL-041-1061
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License Number State | NC
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