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General NPI Number Information
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NPI Number | 1184868200
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Entity Type | Organization
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Legal Business Name | TARHEEL GUARDIAN CARE
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 3194 LEE LAWING RD
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City | LINCOLNTON
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State | NC
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Zip | 28092-8111
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Country | US
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Telephone | 704-501-6175
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Fax | 704-288-0837
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Provider Business Mailing Address
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Address Line | PO BOX 735
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City | DENVER
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State | NC
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Zip | 28037-0735
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Country | US
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Telephone | 704-501-6175
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Fax | 704-288-0837
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER TORRENCE
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Credential |
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Telephone | 704-501-6175
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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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