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General NPI Number Information
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NPI Number | 1174758478
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Entity Type | Organization
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Legal Business Name | INTELLICHOICE STAFFING LLC
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 4735 REEDY BRANCH RD STE C
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City | WINTERVILLE
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State | NC
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Zip | 28590-9934
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Country | US
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Telephone | 252-215-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 REEDY BRANCH RD STE C
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City | WINTERVILLE
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State | NC
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Zip | 28590-9934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOHN D SEYLER JR.
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Credential |
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Telephone | 252-215-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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