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General NPI Number Information
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NPI Number | 1306942925
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Entity Type | Organization
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Legal Business Name | SUPERB NURSING & HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 411 WEST CHAPEL HILL STREET SUITE 605
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City | DURHAM
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State | NC
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Zip | 27701
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Country | US
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Telephone | 919-680-8600
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Fax | 919-680-8601
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Provider Business Mailing Address
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Address Line | PO BOX 884
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City | DURHAM
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State | NC
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Zip | 27702
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Country | US
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Telephone | 919-680-8600
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Fax | 919-680-8601
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WADE WAYNE PERRY SR.
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Credential | ATTORNEY
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Telephone | 919-680-8600
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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 | H C 1481
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | H C 1308
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License Number State | NC
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