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General NPI Number Information
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NPI Number | 1023330669
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Entity Type | Organization
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Legal Business Name | LOVE AND FAITH HOME CARE
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 801 SUMMIT AVE STE13
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City | GREENSBORO
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-617-0725
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Fax |
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Provider Business Mailing Address
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Address Line | 801 SUMMIT AVE STE 13
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City | GREENSBORO
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State | NC
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Zip | 27405-7856
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Country | US
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Telephone | 336-617-0725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANICE COOPER
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Credential |
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Telephone | 336-987-5160
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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 | HC4037
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License Number State | NC
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