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General NPI Number Information
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NPI Number | 1447350293
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Entity Type | Organization
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Legal Business Name | TT&T SERVICES INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 126 N MAIN ST
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City | RAEFORD
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State | NC
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Zip | 28376-2804
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Country | US
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Telephone | 910-904-1189
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Fax | 910-875-3073
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Provider Business Mailing Address
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Address Line | 126 N MAIN ST P. O. BOX 1685
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City | RAEFORD
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State | NC
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Zip | 28376-2804
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Country | US
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Telephone | 910-904-1189
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Fax | 910-875-3073
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Authorized Official
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Title or Position | OWNER
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Name | MISS EUNICETEEN DIGGS
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Credential |
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Telephone | 910-904-1189
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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 | 2510000X
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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