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General NPI Number Information
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NPI Number | 1356504542
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Entity Type | Organization
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Legal Business Name | AVACARE INC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 7355 W FRIENDLY AVE STE E
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City | GREENSBORO
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State | NC
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Zip | 27410-6373
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Country | US
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Telephone | 336-294-1044
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Fax | 336-294-5661
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Provider Business Mailing Address
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Address Line | 7355 W FRIENDLY AVE STE E
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City | GREENSBORO
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State | NC
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Zip | 27410-6373
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Country | US
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Telephone | 336-294-1044
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Fax | 336-294-5661
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMI SUMMERS
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Credential | PHARMD
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Telephone | 336-294-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | NC10101
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License Number State | NC
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