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General NPI Number Information
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NPI Number | 1083735252
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Entity Type | Organization
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Legal Business Name | MAJOR HOME CARE AGENCY
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 106 WEST CHURCH STREET
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City | ATKINSON
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State | NC
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Zip | 28421-9231
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Country | US
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Telephone | 910-283-9444
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Fax | 910-283-9445
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Provider Business Mailing Address
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Address Line | PO BOX 663 529 NORTH SUNSET
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City | ATKINSON
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State | NC
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Zip | 28421-9231
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Country | US
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Telephone | 910-283-9444
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Fax | 910-283-9445
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PEARL LOUISE JONES
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Credential |
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Telephone | 910-231-9166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC1837
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License Number State | NC
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