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General NPI Number Information
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NPI Number | 1528493749
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Entity Type | Organization
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Legal Business Name | NEVERS HOME HEALTHCARE AGENCY, INC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 3921 COLORADO DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-2167
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Country | US
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Telephone | 910-229-6728
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Fax | 910-864-1123
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Provider Business Mailing Address
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Address Line | 3921 COLORADO DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-2167
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Country | US
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Telephone | 910-229-6728
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Fax | 910-864-1123
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Authorized Official
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Title or Position | PREDISENT/OWNER
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Name | MS. PRINCESS A KING
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Credential | MEDICAL ASSISTANCE
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Telephone | 910-229-6728
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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 | HC3601
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License Number State | NC
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