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General NPI Number Information
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NPI Number | 1366121238
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Entity Type | Organization
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Legal Business Name | MOUNT PLEASANT HOME HEALTH LLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1507 PINTO PL
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City | MOUNT PLEASANT
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State | NC
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Zip | 28124-8827
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Country | US
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Telephone | 980-319-7592
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Fax |
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Provider Business Mailing Address
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Address Line | 5824 CRESS RD
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City | CONCORD
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State | NC
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Zip | 28025-7318
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Country | US
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Telephone | 980-319-7592
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROBIN LONG
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Credential |
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Telephone | 704-431-0410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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