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General NPI Number Information
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NPI Number | 1326550658
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Entity Type | Organization
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Legal Business Name | CARE ADVANTAGE-NORTH CAROLINA LLC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 3231 AVENT FERRY RD STE 103
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City | RALEIGH
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State | NC
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Zip | 27606
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Country | US
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Telephone | 804-323-9464
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Fax |
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Provider Business Mailing Address
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Address Line | 10041 MIDLOTHIAN TPKE
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4815
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Country | US
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Telephone | 804-323-9464
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Fax | 804-331-0165
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Authorized Official
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Title or Position | CEO
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Name | MR. TIMOTHY HANOLD
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Credential |
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Telephone | 804-323-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NC
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