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NPI 1225850050

NPI 1225850050 : OXENDINE HEALTH SOLUTIONS : PEMBROKE, NC

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General NPI Number Information
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    NPI Number           |    1225850050
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    Entity Type          |    Organization 
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    Legal Business Name  |    OXENDINE HEALTH SOLUTIONS 
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Dates
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    Enumeration Date     |    10/31/2024
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    352 SHERRILL ROAD 
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    City                 |    PEMBROKE
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    State                |    NC
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    Zip                  |    28372
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    Country              |    US
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    Telephone            |    910-736-0551
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 144 
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    City                 |    PEMBROKE
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    State                |    NC
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    Zip                  |    28372-0144
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    Country              |    US
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    Telephone            |    910-736-0551
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |     WILLIAM CHAD OXENDINE 
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    Credential           |    
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    Telephone            |    910-736-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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