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NPI 1528103934

NPI 1528103934 : APPLE A DAY HOME HEALTH CARE SERVICES : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1528103934
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPLE A DAY HOME HEALTH CARE SERVICES 
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Dates
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    Enumeration Date     |    02/21/2007
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    Last Update Date     |    06/09/2008
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Provider Practice Location Address
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    Address Line         |    1101 TYVOLA RD SUITE 304
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-3515
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    Country              |    US
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    Telephone            |    704-605-8825
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 550906 
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    City                 |    GASTONIA
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    State                |    NC
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    Zip                  |    28055-0906
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    Country              |    US
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    Telephone            |    704-605-8825
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MS. TONYA ANNETTE TAYLOR 
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    Credential           |    
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    Telephone            |    704-605-8825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3140N1450X
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    Taxonomy Name        |    Pediatric Skilled Nursing Facility
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    License Number       |    3140N1450X
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    License Number State |    NC
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Taxonomy #2
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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 |    
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