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General NPI Number Information
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NPI Number | 1114904653
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Entity Type | Organization
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Legal Business Name | COUNTY OF ONSLOW
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 4022 RICHLANDS HWY
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City | JACKSONVILLE
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State | NC
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Zip | 28540-8872
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Country | US
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Telephone | 910-455-2747
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Fax | 910-455-0781
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Provider Business Mailing Address
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Address Line | 328 NEW BRIDGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4756
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Country | US
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Telephone | 910-455-3404
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Fax | 910-937-1594
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Authorized Official
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Title or Position | FINANCE OFFICER
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Name | MR. DAVID J MCCOLE
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Credential |
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Telephone | 910-455-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HC0779
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC0779
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License Number State | NC
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