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General NPI Number Information
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NPI Number | 1326174467
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Entity Type | Organization
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Legal Business Name | SUPERIOR HEALTH CARE SERVICES
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 117 WILLIAMSBORO ST
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City | OXFORD
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State | NC
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Zip | 27565-3328
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Country | US
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Telephone | 919-693-2464
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Fax | 919-693-8860
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Provider Business Mailing Address
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Address Line | 117 WILLIAMSBORO ST
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City | OXFORD
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State | NC
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Zip | 27565-3328
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Country | US
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Telephone | 919-693-2464
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Fax | 919-693-8860
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RANDOLPH HUNT SR.
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Credential | MASTERS
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Telephone | 919-693-2464
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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 | HC3367
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License Number State | NC
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