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General NPI Number Information
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NPI Number | 1376792507
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Entity Type | Organization
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Legal Business Name | TAI HOME HEALTHCARE SERVICES, PA
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 802 WAREHOUSE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-7228
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Country | US
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Telephone | 336-271-6700
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Fax | 336-271-6802
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Provider Business Mailing Address
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Address Line | PO BOX 13932
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City | GREENSBORO
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State | NC
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Zip | 27415-3932
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Country | US
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Telephone | 336-271-6700
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Fax | 336-271-6802
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAIWO TIJANI
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Credential | R.N.
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Telephone | 336-271-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 251E00000X-HOME HEAL
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 251F00000X-HOME INFU
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251-E00000X-HOME HEA
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License Number State | NC
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