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General NPI Number Information
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NPI Number | 1447542196
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Entity Type | Organization
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Legal Business Name | AFYA HEALTH NETWORK
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 930 CAMBRIDGE ST SUITE 105
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-9625
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Country | US
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Telephone | 910-486-9500
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Fax | 910-488-8400
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Provider Business Mailing Address
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Address Line | 930 CAMBRIDGE ST SUITE 105
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-9625
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Country | US
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Telephone | 910-486-9500
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Fax | 910-488-8400
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Authorized Official
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Title or Position | SERVICE SUPERVISOR
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Name | MS. CHRISTINE LORRAINE WILLIAMS
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Credential | RN
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Telephone | 910-486-9500
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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 |
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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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