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General NPI Number Information
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NPI Number | 1215362074
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Entity Type | Organization
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Legal Business Name | FOUR H HOME CARE AGENCY
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1213 GOSHEN ST SUITE B
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City | OXFORD
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State | NC
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Zip | 27565-9313
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Country | US
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Telephone | 919-603-0661
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Fax | 919-603-1661
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Provider Business Mailing Address
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Address Line | 1213 GOSHEN ST SUITE B
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City | OXFORD
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State | NC
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Zip | 27565-9313
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Country | US
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Telephone | 919-603-0661
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Fax | 919-603-1661
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | JOAN G HICKS
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Credential | RN
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Telephone | 919-603-0661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HC4295
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC4295
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC4295
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License Number State | NC
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