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General NPI Number Information
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NPI Number | 1447370325
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Entity Type | Organization
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Legal Business Name | CIRCLE OF DAUGHTERS
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 OAKMONT AVE
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City | DURHAM
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State | NC
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Zip | 27713-1558
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Country | US
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Telephone | 919-361-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ORINDO DR
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City | DURHAM
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State | NC
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Zip | 27713-1628
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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 | ADMINISTRATOR
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Name | MRS. MARGARET YOUNG
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Credential |
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Telephone | 919-593-5523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL 032085
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License Number State | NC
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