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General NPI Number Information
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NPI Number | 1043525942
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Entity Type | Organization
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Legal Business Name | FIRST STEP HOME CARE SERVICE INC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 107 ACADEMY STREET
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City | ROBERSONVILLE
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State | NC
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Zip | 27871-1396
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Country | US
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Telephone | 252-217-6572
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Fax | 252-795-7113
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Provider Business Mailing Address
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Address Line | PO BOX 1396
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City | ROBERSONVILLE
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State | NC
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Zip | 27871-1396
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Country | US
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Telephone | 252-217-6572
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Fax | 252-795-7113
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Authorized Official
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Title or Position | CEO
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Name | MR. JIMMY CARL ROLLINS
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Credential |
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Telephone | 252-217-6572
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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 | HC4126
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License Number State | NC
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