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General NPI Number Information
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NPI Number | 1427292309
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Entity Type | Organization
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Legal Business Name | HAZEL'S HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 820 CRUTCHFIELD RD
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City | REIDSVILLE
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State | NC
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Zip | 27320-8265
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Country | US
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Telephone | 336-349-4887
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Fax | 336-342-1918
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Provider Business Mailing Address
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Address Line | 707 PIEDMONT ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-3623
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Country | US
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Telephone | 336-349-4887
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Fax | 336-342-1918
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Authorized Official
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Title or Position | ADMIMISTRATOR
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Name | HAZEL E CANNON
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Credential |
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Telephone | 336-342-3031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | FCL 079 074
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License Number State | NC
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