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General NPI Number Information
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NPI Number | 1366448961
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Entity Type | Organization
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Legal Business Name | CRAVEN COUNTY
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 2818 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-2839
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Country | US
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Telephone | 252-636-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 2818 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-2839
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Country | US
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Telephone | 252-636-4930
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Fax | 252-636-5301
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | SCOTT HARRELSON
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Credential |
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Telephone | 252-636-4930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC0493
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License Number State | NC
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