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General NPI Number Information
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NPI Number | 1184298747
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Entity Type | Organization
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Legal Business Name | A&A HOME CARE AGENCY LLC.
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 905 HALSTEAD BLVD STE 2
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-6815
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Country | US
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Telephone | 252-562-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 905 HALSTEAD BLVD STE 2
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-6815
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Country | US
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Telephone | 252-562-1225
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMY MOZELLA OUTLAW
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Credential |
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Telephone | 252-562-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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