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General NPI Number Information
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NPI Number | 1255348835
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Entity Type | Organization
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Legal Business Name | LEANING TREE HOME CARE AGENCY
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 2520 MURCHISON RD STE 3A
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3566
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Country | US
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Telephone | 910-822-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 MURCHISON RD STE 3A
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3566
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Country | US
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Telephone | 910-822-2238
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR/OWNER
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Name | LATORRIE SUZETTE CARTER
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Credential |
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Telephone | 910-257-8685
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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 | HC3343
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License Number State | NC
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