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NPI 1366786659

NPI 1366786659 : MARGACHEL ENTERPRISES, LLC : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1366786659
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARGACHEL ENTERPRISES, LLC 
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Dates
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    Enumeration Date     |    11/27/2012
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    Last Update Date     |    11/27/2012
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Provider Practice Location Address
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    Address Line         |    1451 S ELM EUGENE ST BOX 60
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27406-2200
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    Country              |    US
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    Telephone            |    336-285-9480
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    Fax                  |    336-285-9481
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Provider Business Mailing Address
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    Address Line         |    1451 S ELM EUGENE ST BOX 60
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27406-2200
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    Country              |    US
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    Telephone            |    336-285-9480
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    Fax                  |    336-285-9481
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. PHILIP D STRINGER 
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    Credential           |    
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    Telephone            |    336-285-9480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    HC4355
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    License Number State |    NC
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