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General NPI Number Information
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NPI Number | 1366770893
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Entity Type | Organization
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Legal Business Name | APPLE HOME CARE OF FAYETTEVILLE NC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 792 BUNCE RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-0524
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Country | US
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Telephone | 910-813-1305
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Fax |
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Provider Business Mailing Address
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Address Line | 375 KIMBERWICKE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-7106
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Country | US
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Telephone | 910-813-1305
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. STEPHANIE DEMETRESS BONDS
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Credential |
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Telephone | 910-813-1305
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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 | HC3936
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License Number State | NC
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