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General NPI Number Information
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NPI Number | 1073318937
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Entity Type | Organization
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Legal Business Name | OUR MISSION HOME CARE
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 113 W FIRE TOWER RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-8377
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Country | US
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Telephone | 252-395-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 113 W FIRE TOWER RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-8377
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIE LEARY
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Credential |
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Telephone | 252-702-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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