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General NPI Number Information
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NPI Number | 1184921389
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Entity Type | Organization
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Legal Business Name | MARY H FINCH TOTAL CARE LLC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 121 SOUTH MAIN STREET
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City | BROADWAY
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State | NC
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Zip | 27505-1306
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Country | US
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Telephone | 919-258-0166
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Fax | 919-258-0178
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Provider Business Mailing Address
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Address Line | PO BOX 1306 121 SOUTH MAIN STREET
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City | BROADWAY
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State | NC
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Zip | 27505-1306
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Country | US
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Telephone | 919-258-0166
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Fax | 919-258-0178
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH LEWIS WILLIAMS
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Credential |
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Telephone | 919-258-0166
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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 | HC4308
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License Number State | NC
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