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General NPI Number Information
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NPI Number | 1073668232
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Entity Type | Organization
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Legal Business Name | PERSONAL HOMECARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 1708 WAYNE MEMORIAL DR SUITE B
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City | GOLDSBORO
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State | NC
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Zip | 27534-2272
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Country | US
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Telephone | 919-580-9045
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Fax | 919-580-9044
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Provider Business Mailing Address
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Address Line | PO BOX 11270
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City | GOLDSBORO
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State | NC
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Zip | 27532-1270
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Country | US
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Telephone | 919-580-9045
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Fax | 919-580-9044
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Authorized Official
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Title or Position | SERVICE SUPERVISOR OWNER
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Name | MRS. ROBIN WILSON
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Credential | RN
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Telephone | 919-580-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | HC2847
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License Number State | NC
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