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NPI 1154560266

NPI 1154560266 : AMAZING CARE HOME HEALTH AGENCY INC : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1154560266
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMAZING CARE HOME HEALTH AGENCY INC 
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Dates
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    Enumeration Date     |    02/12/2009
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    1261 OLIVER ST 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28304-4450
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    Country              |    US
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    Telephone            |    910-323-1626
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    Fax                  |    910-323-1626
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Provider Business Mailing Address
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    Address Line         |    3350 SW 148TH AVE SUITE 110-AC
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    City                 |    MIRAMAR
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    State                |    FL
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    Zip                  |    33027-3257
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    Country              |    US
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    Telephone            |    954-734-2831
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    Fax                  |    954-874-1695
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. PENELOPE A ZAITER 
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    Credential           |    RN
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    Telephone            |    954-734-2831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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