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General NPI Number Information
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NPI Number | 1306877618
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Entity Type | Organization
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Legal Business Name | FIRST PATH HOME CARE SERVICES
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1687 S MAIN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-5429
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Country | US
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Telephone | 910-291-0240
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Fax | 910-291-0243
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Provider Business Mailing Address
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Address Line | 1687 S MAIN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-5429
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Country | US
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Telephone | 910-291-0240
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Fax | 910-291-0243
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | BRENDA FLOYD
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Credential | CPC
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Telephone | 910-291-0240
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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 | 6601518
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License Number State | NC
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