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General NPI Number Information
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NPI Number | 1013077031
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Entity Type | Organization
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Legal Business Name | ST. VINCENT HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1302 E. ASH STREET
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City | GOLDSBORO
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State | NC
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Zip | 27530-5106
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Country | US
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Telephone | 919-731-4850
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Fax | 919-731-4855
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Provider Business Mailing Address
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Address Line | 1302 E. ASH STREET
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City | GOLDSBORO
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State | NC
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Zip | 27530-5106
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Country | US
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Telephone | 919-731-4850
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Fax | 919-731-4855
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHANNAN ALICIA TOWNSEND
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Credential | M.E.D
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Telephone | 919-344-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC3584
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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