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General NPI Number Information
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NPI Number | 1255542841
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Entity Type | Organization
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Legal Business Name | B AND L FAMILY CARE HOME
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 842 CANE CREEK RD
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City | BAKERSVILLE
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State | NC
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Zip | 28705-9447
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Country | US
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Telephone | 828-688-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 842 CANE CREEK RD
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City | BAKERSVILLE
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State | NC
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Zip | 28705-9447
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Country | US
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Telephone | 828-688-2919
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LOUELLA RENEE BUCHANAN
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Credential |
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Telephone | 828-688-2919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-061-008
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License Number State | NC
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