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General NPI Number Information
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NPI Number | 1053613513
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Entity Type | Organization
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Legal Business Name | CHOSEN HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 105 FULLERS WAY
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City | ABERDEEN
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State | NC
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Zip | 28315-4155
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Country | US
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Telephone | 910-603-4756
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3562
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City | PINEHURST
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State | NC
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Zip | 28374-3562
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Country | US
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Telephone | 910-603-4756
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PATRICIA MCMILLIAN
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Credential |
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Telephone | 910-703-6300
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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 | HC4241
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License Number State | NC
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