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General NPI Number Information
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NPI Number | 1528197936
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Entity Type | Organization
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Legal Business Name | LINCOLN COUNTY
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 206 GAMBLE DR SUITE B
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City | LINCOLNTON
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State | NC
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Zip | 28092-4439
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Country | US
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Telephone | 704-736-8647
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Fax | 704-732-9033
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Provider Business Mailing Address
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Address Line | 206 GAMBLE DR SUITE B
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City | LINCOLNTON
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State | NC
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Zip | 28092-4439
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Country | US
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Telephone | 704-736-8647
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Fax | 704-732-9033
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MRS. SONJI HARRINGTON
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Credential |
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Telephone | 704-736-8649
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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 | HC0391
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License Number State | NC
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