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General NPI Number Information
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NPI Number | 1376119586
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Entity Type | Organization
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Legal Business Name | HEALTH 1ST PROS, PLLC
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 100 HOLDEN RD STE F
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-9128
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Country | US
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Telephone | 919-495-4091
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOLDEN RD STE F
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-9128
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Country | US
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Telephone | 919-495-4091
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ZERITA C HUDSON
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Credential | RN
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Telephone | 919-495-4091
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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 |
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License Number State |
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