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General NPI Number Information
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NPI Number | 1376076638
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Entity Type | Organization
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Legal Business Name | TOUCH OF LOVE FAMILY CARE
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 334 ZEB RD
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City | GIBSONVILLE
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State | NC
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Zip | 27249-9507
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Country | US
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Telephone | 336-342-2213
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Fax | 336-349-7985
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Provider Business Mailing Address
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Address Line | 312 CHURCH ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-3922
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Country | US
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Telephone | 336-340-6856
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Fax | 336-349-7985
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. GLORIA WATLINGTON
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Credential |
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Telephone | 336-340-6856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-079-108
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License Number State | NC
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