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General NPI Number Information
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NPI Number | 1326100652
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Entity Type | Organization
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Legal Business Name | FLAIRCARE, INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1004 MOUNT CARMEL CHURCH RD
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8038
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Country | US
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Telephone | 919-960-6038
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Fax |
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Provider Business Mailing Address
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Address Line | 50010 GOVERNORS DR STE 222
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8628
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Country | US
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Telephone | 919-960-6038
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Fax | 919-933-0901
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANZOR GATCHETCHILADZE
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Credential |
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Telephone | 919-960-6038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC2499
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License Number State | NC
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