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General NPI Number Information
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NPI Number | 1386811818
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Entity Type | Organization
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Legal Business Name | AGAPE NURSING SERVICES, INC.
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 3195 E TENTH ST SUITE E
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City | GREENVILLE
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State | NC
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Zip | 27858-4276
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Country | US
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Telephone | 252-830-9222
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Fax | 252-756-4220
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Provider Business Mailing Address
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Address Line | PO BOX 30321
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City | GREENVILLE
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State | NC
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Zip | 27833-0321
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Country | US
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Telephone | 252-830-9222
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Fax | 252-756-4220
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Authorized Official
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Title or Position | RN/ADMINISTRATOR
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Name | MRS. BRENDA JEAN SMITH
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Credential | REGISTERED NURSE
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Telephone | 252-830-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC1775
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License Number State | NC
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