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General NPI Number Information
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NPI Number | 1053199729
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Entity Type | Organization
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Legal Business Name | CHRISTIAN FAITH HOME CARE AGENCY
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 120 JAMES ST STE 1B
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City | LAURINBURG
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State | NC
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Zip | 28352-3866
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Country | US
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Telephone | 910-777-9402
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Fax | 910-809-2327
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Provider Business Mailing Address
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Address Line | PO BOX 53281
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-3281
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Country | US
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Telephone | 910-777-9402
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Fax | 910-809-2327
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHAZADA KEITH
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Credential |
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Telephone | 910-777-9402
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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 |
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License Number State |
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