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General NPI Number Information
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NPI Number | 1508139981
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Entity Type | Organization
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Legal Business Name | FORRICH41, LLC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 111 HYANNIS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8336
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Country | US
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Telephone | 919-369-7252
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Fax | 919-303-9199
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Provider Business Mailing Address
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Address Line | 111 HYANNIS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8336
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Country | US
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Telephone | 919-369-7252
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Fax | 919-303-9199
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Authorized Official
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Title or Position | OWNER/PT
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Name | ANDREW JOHN READY
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Credential | DPT
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Telephone | 919-369-7252
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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 | 8875
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License Number State | NC
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