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General NPI Number Information
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NPI Number | 1235777988
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Entity Type | Organization
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Legal Business Name | A GREAT CHOICE FOR HOME CARE, INC.
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 1671 WELLONS DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5054
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Country | US
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Telephone | 919-396-1222
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Fax | 910-339-0237
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Provider Business Mailing Address
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Address Line | 626 MABEL ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-2226
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Country | US
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Telephone | 919-396-1222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DINEZ BAKER
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Credential |
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Telephone | 919-396-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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