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NPI 1306964648

NPI 1306964648 : KATHY POWELL : LUMBERTON, NC

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General NPI Number Information
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    NPI Number           |    1306964648
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    Entity Type          |    Individual 
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    Provider Name        |    KATHY POWELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/26/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    204 E 5TH ST 
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    City                 |    LUMBERTON
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    State                |    NC
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    Zip                  |    28358-5576
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    Country              |    US
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    Telephone            |    910-272-8037
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    Fax                  |    910-272-8039
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Provider Business Mailing Address
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    Address Line         |    204 E 5TH ST 
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    City                 |    LUMBERTON
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    State                |    NC
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    Zip                  |    28358-5576
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    Country              |    US
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    Telephone            |    910-272-8037
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    Fax                  |    910-272-8039
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    HC3088
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    HC3088
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    License Number State |    NC
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