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General NPI Number Information
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NPI Number | 1114144524
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Entity Type | Organization
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Legal Business Name | HOMEBORN HEALTH, P.L.L.C.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 24 SNELSON DR
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City | ASHEVILLE
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State | NC
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Zip | 28806-7416
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Country | US
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Telephone | 828-515-5227
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Fax | 828-515-5227
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Provider Business Mailing Address
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Address Line | 24 SNELSON DR
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City | ASHEVILLE
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State | NC
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Zip | 28806-7416
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Country | US
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Telephone | 828-515-5227
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Fax | 828-515-5227
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JUDITH CAROL WRZESINSKI
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Credential | CERTIFIED NURSE - MI
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Telephone | 815-218-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 209-003484
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 209-003485
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 634
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 286113
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License Number State | NC
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