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General NPI Number Information
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NPI Number | 1437806924
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Entity Type | Organization
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Legal Business Name | PICKUS VENTURES
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 1550 HENDERSONVILLE RD STE 110
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City | ASHEVILLE
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State | NC
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Zip | 28803-3199
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Country | US
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Telephone | 828-222-0357
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Fax |
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Provider Business Mailing Address
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Address Line | 39 WILDWOOD GARDENS RD
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City | FLETCHER
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State | NC
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Zip | 28732-7752
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Country | US
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Telephone | 828-423-1207
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAQED N PICKUS
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Credential |
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Telephone | 828-423-1207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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