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General NPI Number Information
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NPI Number | 1518334051
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Entity Type | Organization
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Legal Business Name | SKYZ THE LIMIT HOME CARE, LLC
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 117 TRADEWYND DR SUITE A
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City | LYNCHBURG
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State | VA
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Zip | 24502-3112
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Country | US
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Telephone | 434-200-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 N DUKE ST SUITE 102-A
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City | DURHAM
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State | NC
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Zip | 27704-1780
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Country | US
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Telephone | 919-479-9050
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HATTIE CARRINGTON
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Credential | BSN, RN
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Telephone | 434-200-8336
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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 | VA
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