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General NPI Number Information
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NPI Number | 1407071897
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Entity Type | Organization
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Legal Business Name | RANDOLPH COMMUNITY SERVICES
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 221 S FAYETTEVILLE ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5724
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Country | US
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Telephone | 336-629-5141
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Fax | 336-629-1290
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Provider Business Mailing Address
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Address Line | PO BOX 1883
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City | ASHEBORO
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State | NC
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Zip | 27204-1883
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Country | US
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Telephone | 336-629-5141
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Fax | 336-629-1290
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JANICE S. SCARBOROUGH
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Credential |
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Telephone | 336-629-5141
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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 | HC0130
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License Number State | NC
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