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General NPI Number Information
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NPI Number | 1285312710
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Entity Type | Organization
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Legal Business Name | THE ESSENCE OF TRUE LIVING INC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 7725 LINDA LAKE DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-2846
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Country | US
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Telephone | 704-560-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 11121 NOLET CT
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City | CHARLOTTE
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State | NC
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Zip | 28215-7393
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Country | US
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Telephone | 803-540-5769
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KIMBERLY BAKER
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Credential | LPN
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Telephone | 803-540-5769
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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 |
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License Number State |
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