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General NPI Number Information
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NPI Number | 1467038166
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE & HEALTH SERVICES
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 105 DAVIS ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5355
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Country | US
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Telephone | 910-286-3446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40602
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-0602
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Country | US
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Telephone | 910-286-3446
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLING SPECIALIST
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Name | FELICIA MAE MCPHATTER
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Credential | AAS, MOA
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Telephone | 910-286-3446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 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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