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General NPI Number Information
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NPI Number | 1316548084
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Entity Type | Organization
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Legal Business Name | CAROLINA BRIDGES HOME HEALTH
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Dates
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Enumeration Date | 11/07/2020
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 312 W MILLBROOK RD STE 121
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City | RALEIGH
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State | NC
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Zip | 27609-4398
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Country | US
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Telephone | 919-791-7824
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Fax |
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Provider Business Mailing Address
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Address Line | 404 HOLDEN FOREST DR
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-7201
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Country | US
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Telephone | 919-791-7824
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALISHA MCRAE
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Credential | RN
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Telephone | 919-791-7824
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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