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NPI 1346395019

NPI 1346395019 : W&B HEALTH CARE : RED SPRINGS, NC

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General NPI Number Information
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    NPI Number           |    1346395019
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    Entity Type          |    Organization 
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    Legal Business Name  |    W&B HEALTH CARE 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    09/07/2007
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Provider Practice Location Address
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    Address Line         |    130 S MAIN ST 
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    City                 |    RED SPRINGS
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    State                |    NC
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    Zip                  |    28377-1512
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    Country              |    US
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    Telephone            |    910-843-2710
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    Fax                  |    910-843-2171
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Provider Business Mailing Address
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    Address Line         |    130 MAIN STREET 
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    City                 |    RED SPRINGS
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    State                |    NC
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    Zip                  |    28377
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    Country              |    US
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    Telephone            |    910-843-2710
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    Fax                  |    910-843-2171
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MS. SANDRA  WILSON 
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    Credential           |    
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    Telephone            |    910-843-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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