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General NPI Number Information
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NPI Number | 1235380577
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOMECARE SERVICES INC.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 1654 DICKERSON BLVD SUITE D
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City | MONROE
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State | NC
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Zip | 28110-2883
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Country | US
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Telephone | 704-289-3506
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Fax |
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Provider Business Mailing Address
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Address Line | 1654 DICKERSON BLVD SUITE D
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City | MONROE
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State | NC
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Zip | 28110-2883
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Country | US
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Telephone | 704-289-3506
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | REGINA DEPASS
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Credential |
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Telephone | 704-323-9266
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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 | HC3537
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License Number State | NC
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