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General NPI Number Information
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NPI Number | 1538922919
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Entity Type | Organization
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Legal Business Name | AMEN HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 189 WIND CHIME CT STE 104-C
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City | RALEIGH
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State | NC
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Zip | 27615-6479
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Country | US
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Telephone | 919-809-8049
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Fax | 919-809-8047
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Provider Business Mailing Address
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Address Line | 189 WIND CHIME CT STE 104-C
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City | RALEIGH
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State | NC
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Zip | 27615-6479
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Country | US
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Telephone | 919-809-8049
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Fax | 919-809-8047
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Authorized Official
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Title or Position | REGISTERED NURSE/MANAGER
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Name | STELLA CHAPMAN
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Credential | RN
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Telephone | 919-638-6668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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