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General NPI Number Information
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NPI Number | 1417577867
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Entity Type | Organization
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Legal Business Name | NEW ERA OF NC INC
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 206 RALEIGH ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2263
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Country | US
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Telephone | 919-271-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 841 GROVE CREEK LN
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City | RALEIGH
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State | NC
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Zip | 27610-8015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRRECTOR
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Name | HUMPHREY OKPARA
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Credential |
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Telephone | 919-271-2356
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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