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General NPI Number Information
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NPI Number | 1164611638
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Entity Type | Individual
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Provider Name | MRS. WENDY GERALDINE JAMES
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Gender | Female
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1135 AHOSKIE COFIELD RD
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City | COFIELD
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State | NC
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Zip | 27922-1135
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Country | US
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Telephone | 252-358-6861
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Fax | 252-358-1493
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Provider Business Mailing Address
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Address Line | 1135 AHOSKIE COFIELD RD
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City | COFIELD
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State | NC
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Zip | 27922-1135
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Country | US
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Telephone | 252-358-6861
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Fax | 252-358-1493
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | FCL46010
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License Number State | NC
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