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General NPI Number Information
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NPI Number | 1508922899
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Entity Type | Organization
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Legal Business Name | TOTAL RESTORATION HOME HEALTH SERVICES
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 468 PINEVILLE RD
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City | MOCKSVILLE
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State | NC
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Zip | 27028-6242
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Country | US
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Telephone | 336-998-4534
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Fax | 336-998-4530
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Provider Business Mailing Address
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Address Line | 468 PINEVILLE RD
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City | MOCKSVILLE
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State | NC
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Zip | 27028-6242
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Country | US
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Telephone | 336-998-4534
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Fax | 336-998-4530
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TONI DARLENE WRIGHT
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Credential |
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Telephone | 336-998-4534
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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 | HC3540
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License Number State | NC
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