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General NPI Number Information
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NPI Number | 1134496409
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Entity Type | Organization
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Legal Business Name | AT IN HOME HEALTHCARE
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 5439B LIBERTY RD
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City | GREENSBORO
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State | NC
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Zip | 27406-9759
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Country | US
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Telephone | 336-617-7622
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Fax | 336-617-7623
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Provider Business Mailing Address
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Address Line | 5439B LIBERTY RD
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City | GREENSBORO
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State | NC
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Zip | 27406-9759
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Country | US
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Telephone | 336-617-7622
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Fax | 336-617-7623
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. MITZI S BROWN
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Credential | RN
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Telephone | 336-617-7622
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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 | HC4318
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License Number State | NC
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