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General NPI Number Information
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NPI Number | 1518693191
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Entity Type | Organization
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Legal Business Name | REGAL HOME CARE OF CHARLOTTE
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 227 W 4TH ST # 318
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City | CHARLOTTE
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State | NC
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Zip | 28202-1545
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Country | US
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Telephone | 980-425-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 525 S CHURCH ST APT 1905
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City | CHARLOTTE
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State | NC
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Zip | 28202-3321
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Country | US
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Telephone | 980-425-3345
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISA WILKINSON
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Credential | LMFT
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Telephone | 980-425-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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