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General NPI Number Information
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NPI Number | 1194025718
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Entity Type | Organization
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Legal Business Name | SISTERS UNITED HEALTHCARE
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 402 N ONEIL ST
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City | CLAYTON
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State | NC
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Zip | 27520-1926
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Country | US
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Telephone | 919-585-7435
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Fax |
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Provider Business Mailing Address
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Address Line | 402 N ONEIL ST
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City | CLAYTON
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State | NC
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Zip | 27520-1926
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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 | AGENCY DIRECTOR
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Name | RACHEL HICKS
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Credential | RN
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Telephone | 19195857435
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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 | NC
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