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NPI 1427651447

NPI 1427651447 : GINGERLY HC, INC. : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1427651447
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    Entity Type          |    Organization 
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    Legal Business Name  |    GINGERLY HC, INC. 
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Dates
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    Enumeration Date     |    11/20/2020
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    Last Update Date     |    06/03/2021
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Provider Practice Location Address
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    Address Line         |    4748 OLD STANTONSBURG RD 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834
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    Country              |    US
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    Telephone            |    252-391-7993
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    Fax                  |    252-256-7255
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Provider Business Mailing Address
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    Address Line         |    PO BOX 401 
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    City                 |    SIMPSON
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    State                |    NC
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    Zip                  |    27879-0401
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    Country              |    US
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    Telephone            |    252-391-7993
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    Fax                  |    252-256-7255
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GINGER PRICE GREEN 
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    Credential           |    
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    Telephone            |    252-391-7993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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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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