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General NPI Number Information
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NPI Number | 1144222365
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL CENTER AT HOME, LLC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 105 T R HARRIS DR
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City | SHELBY
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State | NC
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Zip | 28150-3486
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Country | US
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Telephone | 704-487-5225
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Fax | 704-484-4590
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Provider Business Mailing Address
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Address Line | PO BOX 602259
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City | CHARLOTTE
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State | NC
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Zip | 28260-2259
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Country | US
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Telephone | 704-512-2312
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Fax | 704-512-4035
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MICHAEL ANTHONY STOLZENBACH
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Credential |
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Telephone | 704-591-2576
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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 | HC0042
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License Number State | NC
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