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General NPI Number Information
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NPI Number | 1134462583
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Entity Type | Organization
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Legal Business Name | YOURE IN OUR CARE
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 106 HOLLOMAN AVE E
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City | AHOSKIE
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State | NC
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Zip | 27910-2307
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Country | US
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Telephone | 252-642-9993
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 CATHERINE ST N
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City | AHOSKIE
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State | NC
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Zip | 27910-2303
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Country | US
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Telephone | 252-642-9993
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHANTA LENESE HARRELL
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Credential |
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Telephone | 252-642-9993
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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 | FCL-046-025
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License Number State | NC
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