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General NPI Number Information
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NPI Number | 1396015384
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Entity Type | Organization
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Legal Business Name | DARING TO ACHIEVE
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 115 E MAIN ST STE 9
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2482
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Country | US
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Telephone | 252-789-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E MAIN ST STE 9
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2482
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Country | US
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Telephone | 252-789-8384
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHERINE WASHINGTON
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Credential |
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Telephone | 252-661-5532
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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 | HC4350
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License Number State | NC
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