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NPI 1063128957

NPI 1063128957 : KEEP LOOKING UP HCA LLC : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1063128957
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    Entity Type          |    Organization 
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    Legal Business Name  |    KEEP LOOKING UP HCA LLC 
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Dates
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    Enumeration Date     |    01/25/2023
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    Last Update Date     |    01/25/2023
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Provider Practice Location Address
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    Address Line         |    1290 E ARLINGTON BLVD STE 110 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27858-7063
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    Country              |    US
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    Telephone            |    252-702-7432
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1290 E ARLINGTON BLVD STE 110 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27858-7063
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    Country              |    US
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    Telephone            |    252-702-7432
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LISA MICHELLE ANDREWS 
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    Credential           |    
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    Telephone            |    252-702-7432
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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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