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General NPI Number Information
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NPI Number | 1467799585
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Entity Type | Organization
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Legal Business Name | SURE PROMISE FCH2
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 240 AHOSKIE COFIELD RD
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City | AHOSKIE
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State | NC
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Zip | 27910-8271
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Country | US
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Telephone | 252-332-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W SALUDA HALL RD
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City | AHOSKIE
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State | NC
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Zip | 27910-8113
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Country | US
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Telephone | 252-332-5021
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATIE ARMSTRONG
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Credential |
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Telephone | 252-332-5201
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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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