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General NPI Number Information
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NPI Number | 1063835106
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Entity Type | Organization
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Legal Business Name | AVENUE HEALTH CARE
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 8000 CORPORATE CENTER DR STE 112
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City | CHARLOTTE
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State | NC
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Zip | 28226-4464
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Country | US
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Telephone | 980-265-2670
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Fax | 704-749-8608
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Provider Business Mailing Address
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Address Line | 8000 CORPORATE CENTER DR STE 112
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City | CHARLOTTE
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State | NC
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Zip | 28226-4464
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Country | US
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Telephone | 980-265-2670
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Fax | 704-749-8608
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | AMANDA SCHUSS
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Credential |
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Telephone | 980-265-2670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | NC
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Taxonomy #5
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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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