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General NPI Number Information
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NPI Number | 1073516894
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Entity Type | Organization
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Legal Business Name | HEALTHACCESS, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1005 W H SMITH BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-5052
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Country | US
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Telephone | 252-847-7830
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Fax | 252-847-7910
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Provider Business Mailing Address
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Address Line | PO BOX 8125
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City | GREENVILLE
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State | NC
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Zip | 27835-8125
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Country | US
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Telephone | 252-847-7830
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Fax | 252-847-7910
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RYAN TODD HICKEY
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Credential |
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Telephone | 252-847-7836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HOS0425
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HOS1711
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License Number State | NC
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