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General NPI Number Information
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NPI Number | 1013387695
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Entity Type | Organization
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Legal Business Name | NEW AGE CARE SERVICES INC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 1400 BATTLEGROUND AVE SUITE 122
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City | GREENSBORO
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State | NC
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Zip | 27408-8042
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Country | US
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Telephone | 336-285-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BATTLEGROUND AVE SUITE 122
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City | GREENSBORO
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State | NC
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Zip | 27408-8042
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Country | US
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Telephone | 336-285-7477
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. BRUCE ALLEN MCREYNOLDS
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Credential |
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Telephone | 336-285-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC4498
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License Number State | NC
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