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General NPI Number Information
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NPI Number | 1134414485
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Entity Type | Organization
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Legal Business Name | EXCELLENT CHOICE HOME HEALTH CARE AND UNIFORM SALES
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 588 BAILEY RD SUITE G
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City | LUMBERTON
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State | NC
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Zip | 28358-2455
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Country | US
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Telephone | 910-608-9503
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Fax | 910-608-9508
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Provider Business Mailing Address
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Address Line | 588 BAILEY RD SUITE G
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City | LUMBERTON
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State | NC
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Zip | 28358-2455
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Country | US
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Telephone | 910-608-9503
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Fax | 910-608-9508
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Authorized Official
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Title or Position | OWNER
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Name | LENA BRAYBOY LOCKLEAR
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Credential | RN, BSN
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Telephone | 910-608-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC4384
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License Number State | NC
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