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General NPI Number Information
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NPI Number | 1518081025
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Entity Type | Organization
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Legal Business Name | MOSLEY FAMILY CARE HOME
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 3412 POOLE RD
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City | KINSTON
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State | NC
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Zip | 28504-5929
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Country | US
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Telephone | 252-522-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 3412 POOLE RD
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City | KINSTON
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State | NC
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Zip | 28504-5929
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Country | US
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Telephone | 252-522-2280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANNIE MOSLEY
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Credential |
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Telephone | 252-522-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL054004
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License Number State | NC
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