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General NPI Number Information
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NPI Number | 1114627015
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Entity Type | Organization
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Legal Business Name | SCION HOME CARE INC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 5221 COVINGTON BEND DR
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City | RALEIGH
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State | NC
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Zip | 27613-5637
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Country | US
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Telephone | 919-698-7269
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Fax |
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Provider Business Mailing Address
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Address Line | 13200 STRICKLAND RD SUITE 114 BOX 297
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City | RALEIGH
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State | NC
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Zip | 27613
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Country | US
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Telephone | 919-480-2366
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/AGENCY DIRECTOR
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Name | DR. NICHOLAS F BURKS
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Credential | DNP, MS, RN, NEA-BC
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Telephone | 919-698-7269
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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 |
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License Number State |
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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 |
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License Number State |
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