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General NPI Number Information
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NPI Number | 1063028660
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOME CARE LLC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 1052 NATIONAL HWY
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City | THOMASVILLE
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State | NC
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Zip | 27360-2312
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Country | US
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Telephone | 336-754-1470
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Fax | 336-652-3155
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Provider Business Mailing Address
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Address Line | 1052 NATIONAL HWY
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City | THOMASVILLE
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State | NC
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Zip | 27360-2312
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Country | US
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Telephone | 336-754-1470
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Fax | 336-652-3155
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Authorized Official
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Title or Position | CEO
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Name | TAHESIA MCKNIGHT
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Credential |
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Telephone | 336-754-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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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 |
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