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General NPI Number Information
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NPI Number | 1477196970
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Entity Type | Organization
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Legal Business Name | NEW ERA II
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 5412A CENTRAL AVE
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City | CHARLOTTE
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State | NC
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Zip | 28212-2706
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Country | US
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Telephone | 704-835-6887
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Fax | 704-563-3356
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Provider Business Mailing Address
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Address Line | PO BOX 43345
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City | CHARLOTTE
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State | NC
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Zip | 28215-0023
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Country | US
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Telephone | 980-213-5501
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Fax | 704-563-3356
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Authorized Official
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Title or Position | OWNER
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Name | OMAR CARTER
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Credential |
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Telephone | 980-825-9053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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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