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General NPI Number Information
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NPI Number | 1477678456
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Entity Type | Organization
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Legal Business Name | COUNTY OF DAVIE
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 642 WILKESBORO ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2051
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Country | US
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Telephone | 336-753-6750
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Fax | 336-751-0335
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Provider Business Mailing Address
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Address Line | 210 HOSPITAL STREET POST OFFICE BOX 848
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City | MOCKSVILLE
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State | NC
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Zip | 27028-0848
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Country | US
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Telephone | 336-753-6750
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Fax | 336-751-0335
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | MS. SUZANNE WRIGHT
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Credential |
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Telephone | 336-753-6750
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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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