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General NPI Number Information
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NPI Number | 1477140580
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Entity Type | Organization
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Legal Business Name | HOME AGAIN HOME CARE
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 2572 DAVIE AVE
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City | STATESVILLE
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State | NC
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Zip | 28625-9249
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Country | US
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Telephone | 336-448-0567
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Fax | 336-656-2178
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Provider Business Mailing Address
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Address Line | 151 LARCK CREST LN
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City | WINSTON SALEM
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State | NC
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Zip | 27107-8205
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Country | US
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Telephone | 336-782-9611
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Fax | 336-656-2178
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Authorized Official
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Title or Position | OWNER
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Name | BRITNEY N ROBERTSON
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Credential |
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Telephone | 336-782-9611
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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 | 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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