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General NPI Number Information
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NPI Number | 1437167236
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Entity Type | Organization
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Legal Business Name | HERITAGE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 E SAINT JAMES ST
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City | TARBORO
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State | NC
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Zip | 27886-5053
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Country | US
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Telephone | 252-824-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E SAINT JAMES ST
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City | TARBORO
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State | NC
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Zip | 27886-5053
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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 | AGENCY DIRECTOR
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Name | PAUL BEASLEY PITTMAN JR.
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Credential |
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Telephone | 252-824-5210
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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 | HC2186
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License Number State | NC
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