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General NPI Number Information
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NPI Number | 1104059294
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Entity Type | Organization
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Legal Business Name | FIRST HOME CARE OF NC #2
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 3771 RAMSEY ST STE 109-133
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-7616
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Country | US
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Telephone | 910-213-3050
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Fax | 866-406-4630
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Provider Business Mailing Address
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Address Line | 3771 RAMSEY ST STE 109-133
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-7616
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Country | US
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Telephone | 910-213-3050
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Fax | 866-406-4630
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM I SMITH
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Credential |
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Telephone | 919-213-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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