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General NPI Number Information
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NPI Number | 1083373005
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Entity Type | Organization
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Legal Business Name | TOURMALINE HOME CARE, LLC
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 204 MUIRS CHAPEL RD STE 336
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City | GREENSBORO
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State | NC
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Zip | 27410-6173
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Country | US
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Telephone | 336-848-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 204 MUIRS CHAPEL RD STE 336
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City | GREENSBORO
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State | NC
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Zip | 27410-6173
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Country | US
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Telephone | 336-848-6601
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CHANTELL N COOPER
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Credential |
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Telephone | 336-848-6601
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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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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #5
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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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