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General NPI Number Information
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NPI Number | 1497962542
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE TRIAD, INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1566 UNION RD STE G
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City | GASTONIA
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State | NC
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Zip | 28054-5301
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Country | US
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Telephone | 704-861-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 2526 WARD BLVD
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City | WILSON
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State | NC
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Zip | 27893-1600
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Country | US
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Telephone | 252-243-7808
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Fax | 252-243-7385
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Authorized Official
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Title or Position | CFO
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Name | TERRI PILKINGTON
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Credential |
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Telephone | 252-243-7808
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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 | HC1903
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License Number State | NC
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