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General NPI Number Information
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NPI Number | 1336452317
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Entity Type | Organization
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Legal Business Name | BEST HOME HEALTHCARE AGENCY,LLC
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 3535 S. WILMINGTON ST STE 106
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City | RALEIGH
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State | NC
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Zip | 27603-3583
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Country | US
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Telephone | 919-779-0477
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Fax | 919-779-0475
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Provider Business Mailing Address
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Address Line | 3535 S. WILMINGTON ST STE 106
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City | RALEIGH
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State | NC
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Zip | 27603-3583
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Country | US
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Telephone | 919-779-0477
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Fax | 919-779-0475
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AUGUSTINE C OGUAMA
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Credential |
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Telephone | 919-779-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | HCLAT01272010
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License Number State | NC
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