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General NPI Number Information
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NPI Number | 1124712971
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Entity Type | Organization
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Legal Business Name | OAKFAITH LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 3010 CORINTH LN
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City | DURHAM
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State | NC
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Zip | 27704-3271
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Country | US
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Telephone | 919-585-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 WEAVER DAIRY ROAD STE T, BOX 16001
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1960
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Country | US
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Telephone | 919-585-4919
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DIANA AGADA
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Credential |
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Telephone | 919-585-4919
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #7
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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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