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General NPI Number Information
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NPI Number | 1245507342
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Entity Type | Organization
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Legal Business Name | INDEPENDENT HEALING L.LC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 811 S 12TH ST
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City | LILLINGTON
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State | NC
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Zip | 27546-6865
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Country | US
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Telephone | 866-825-5057
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Fax | 866-636-0357
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Provider Business Mailing Address
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Address Line | 811 S 12TH ST
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City | LILLINGTON
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State | NC
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Zip | 27546-6865
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Country | US
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Telephone | 866-825-5057
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Fax | 866-636-0357
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Authorized Official
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Title or Position | PRESIDENT MANAGING OWNER
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Name | MR. DANIEL THOMAS CLAPPER
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Credential |
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Telephone | 866-825-5057
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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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