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General NPI Number Information
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NPI Number | 1205587680
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Entity Type | Organization
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Legal Business Name | COMMUNITY PARTNERS HOMECARE LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 845 CHURCH ST. N SUITE 208 #14
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City | CONCORD
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State | NC
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Zip | 28025
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Country | US
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Telephone | 888-221-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 2322 RED BIRCH WAY
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City | CONCORD
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State | NC
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Zip | 28027-8760
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Country | US
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Telephone | 704-885-4493
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/BUSINESS MANAGER
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Name | LANCE MARTIN
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Credential |
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Telephone | 704-885-4493
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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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