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General NPI Number Information
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NPI Number | 1386605624
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Entity Type | Organization
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Legal Business Name | COORDINATED HEALTH SERVICES
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1224 COPELAND OAKS DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6614
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Country | US
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Telephone | 919-465-0910
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Fax | 919-465-0918
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Provider Business Mailing Address
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Address Line | 1224 COPELAND OAKS DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6614
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Country | US
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Telephone | 919-465-0910
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Fax | 919-465-0918
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFF S JENKINS
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Credential |
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Telephone | 919-465-0910
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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 | HC1412
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License Number State | NC
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