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General NPI Number Information
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NPI Number | 1386784858
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Entity Type | Organization
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Legal Business Name | TIMS HOME CARE AGENCY INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 814 DALEVIEW PL
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City | GREENSBORO
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State | NC
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Zip | 27406-4112
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Country | US
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Telephone | 336-691-1943
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Fax | 336-691-7350
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Provider Business Mailing Address
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Address Line | 814 DALEVIEW PLACE
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City | GREENSBORO
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State | NC
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Zip | 27406-4112
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Country | US
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Telephone | 336-691-1943
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Fax | 336-691-7350
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. DIANNA CAROL DAYE
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Credential |
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Telephone | 336-691-1943
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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 | HC3617
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License Number State | NC
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