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General NPI Number Information
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NPI Number | 1154495745
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Entity Type | Organization
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Legal Business Name | CATHY JOHNSON CARING FOR OTHERS IN HOME AGENCY
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 134 W FRONT ST
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City | BURLINGTON
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State | NC
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Zip | 27215-3783
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Country | US
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Telephone | 336-222-0960
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Fax | 336-222-0970
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Provider Business Mailing Address
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Address Line | 902 LAKESIDE AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-9724
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Country | US
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Telephone | 336-222-0960
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Fax | 336-222-0970
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Authorized Official
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Title or Position | EX DIRECTOR
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Name | MRS. CATHY C JOHNSON
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Credential |
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Telephone | 336-222-0960
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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 | HC3396
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License Number State | NC
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