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General NPI Number Information
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NPI Number | 1457940298
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Entity Type | Organization
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Legal Business Name | HCC AT HOME, INC
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 402 S MAIN ST STE 400
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City | RAEFORD
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State | NC
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Zip | 28376-3223
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Country | US
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Telephone | 910-929-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 402 S MAIN ST STE 400
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City | RAEFORD
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State | NC
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Zip | 28376-3223
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Country | US
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Telephone | 910-929-6944
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Fax |
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Authorized Official
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Title or Position | HR MANAGER
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Name | MRS. CAROL LYNN KEELER
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Credential |
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Telephone | 910-929-6944
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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