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General NPI Number Information
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NPI Number | 1003903402
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Entity Type | Organization
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Legal Business Name | TOTAL CARE HOME HEALTH
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1661 WALKUP AVE STE G
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City | MONROE
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State | NC
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Zip | 28110-3600
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Country | US
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Telephone | 704-283-0535
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Fax | 704-289-1155
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Provider Business Mailing Address
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Address Line | 1661 WALKUP AVE STE G
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City | MONROE
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State | NC
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Zip | 28110-3600
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Country | US
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Telephone | 704-283-0535
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Fax | 704-289-1155
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Authorized Official
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Title or Position | AUTHORIZED SIGNATORY
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Name | JOHN NICHOLS
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Credential |
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Telephone | 913-814-2077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2057
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License Number State | NC
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