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General NPI Number Information
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NPI Number | 1316125222
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Entity Type | Organization
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Legal Business Name | BENNETT'S FAMILY CARE SERVICES INC.
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 804 BALES CHAPEL RD
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City | JAMESTOWN
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State | NC
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Zip | 27282-9127
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Country | US
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Telephone | 336-456-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 804 BALES CHAPEL RD
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City | JAMESTOWN
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State | NC
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Zip | 27282-9127
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KELLY BENNETT
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Credential |
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Telephone | 336-456-5349
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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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