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General NPI Number Information
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NPI Number | 1467738138
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE NURSING SERVICES INC.
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 200 JAMES ST
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City | CARRBORO
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State | NC
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Zip | 27510
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Country | US
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Telephone | 919-260-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 200 JAMES ST
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City | CARRBORO
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State | NC
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Zip | 27510-1110
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Country | US
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Telephone | 919-260-8777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATHEW OLICKARA VARUGHESE
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Credential | N/A
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Telephone | 919-260-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NP1905
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License Number State | NC
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