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General NPI Number Information
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NPI Number | 1053616078
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Entity Type | Organization
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Legal Business Name | ROSE CARE INCORPORATED DBA BRIGHTSTAR OF IREDELL/ROWAN
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Dates
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Enumeration Date | 01/22/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 181 N MAIN ST STE 214
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City | MOORESVILLE
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State | NC
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Zip | 28115-2525
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Country | US
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Telephone | 704-230-2273
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Fax | 704-660-6134
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Provider Business Mailing Address
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Address Line | 181 N MAIN ST STE 214
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City | MOORESVILLE
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State | NC
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Zip | 28115-2525
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Country | US
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Telephone | 704-230-2273
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Fax | 704-660-6134
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIELLE MALBASA ROSE
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Credential | M.D.
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Telephone | 704-591-0138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NC
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Taxonomy #3
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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 | NC
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