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General NPI Number Information
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NPI Number | 1104133297
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Entity Type | Organization
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Legal Business Name | TENDER TOUCH FCH LLC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 2005 ANN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-4501
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Country | US
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Telephone | 919-798-8098
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41442
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City | RALEIGH
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State | NC
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Zip | 27629-1442
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Country | US
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Telephone | 919-798-8098
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. FELECHA CORLEY FOUNTAIN
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Credential |
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Telephone | 919-798-8098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-092-163
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License Number State | NC
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