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General NPI Number Information
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NPI Number | 1326342320
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Entity Type | Organization
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Legal Business Name | CAROLINAS HOME CARE AGENCY, INC.
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 603 S CANAL ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4256
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Country | US
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Telephone | 910-642-3700
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Fax | 910-642-5146
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Provider Business Mailing Address
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Address Line | 603 S CANAL ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4256
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Country | US
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Telephone | 910-642-3700
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Fax | 910-642-5146
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MELODY CAMPBELL
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Credential |
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Telephone | 910-642-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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