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NPI 1164209227

NPI 1164209227 : ZOE LIFE CLINICAL SERVICES LLC : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1164209227
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZOE LIFE CLINICAL SERVICES LLC 
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Dates
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    Enumeration Date     |    09/12/2023
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    Last Update Date     |    09/12/2023
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Provider Practice Location Address
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    Address Line         |    3107 EVANS ST STE F 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-7690
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    Country              |    US
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    Telephone            |    252-531-8712
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2745 CRESSET DR 
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    City                 |    WINTERVILLE
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    State                |    NC
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    Zip                  |    28590-6602
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    Country              |    US
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    Telephone            |    252-531-8712
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     LORIE  SAVAGE 
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    Credential           |    
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    Telephone            |    252-531-8712
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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       |    
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    License Number State |    
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