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General NPI Number Information
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NPI Number | 1083699607
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Entity Type | Organization
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Legal Business Name | DUDLEY'S HOME HEALTH, INC.
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 223 WILLIAMSON RD SUITE 102
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City | MOORESVILLE
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State | NC
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Zip | 28117-6899
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Country | US
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Telephone | 704-799-3363
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Fax | 704-799-3635
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Provider Business Mailing Address
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Address Line | 223 WILLIAMSON RD SUITE 102
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City | MOORESVILLE
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State | NC
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Zip | 28117-6899
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Country | US
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Telephone | 704-799-3363
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Fax | 704-799-3635
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Authorized Official
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Title or Position | CEO
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Name | MRS. LONDA CARR DUDLEY
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Credential |
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Telephone | 704-799-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HC2330
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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 | HC2330
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License Number State | NC
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