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General NPI Number Information
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NPI Number | 1184364531
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Entity Type | Organization
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Legal Business Name | QNC HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 429 PERSON ST STE 6
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5737
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Country | US
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Telephone | 910-835-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 110 DYSART PL APT J
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-4300
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Country | US
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Telephone | 910-835-5464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRYSANDRA ROGERS
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Credential |
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Telephone | 910-929-4687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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