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General NPI Number Information
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NPI Number | 1144559980
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Entity Type | Organization
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Legal Business Name | HEWITT HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 1105 E WENDOVER AVE SUITE E
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City | GREENSBORO
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State | NC
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Zip | 27405-6774
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Country | US
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Telephone | 336-375-7410
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 LLOYDS CT
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City | MC LEANSVILLE
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State | NC
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Zip | 27301-9772
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Country | US
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Telephone | 336-375-7410
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY HEWITT
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Credential |
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Telephone | 336-375-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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