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General NPI Number Information
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NPI Number | 1538983218
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Entity Type | Organization
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Legal Business Name | A TRUE VISION FAMILY CARE HOME LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1718 MORGANTOWN RD
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City | BURLINGTON
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State | NC
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Zip | 27217-8325
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Country | US
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Telephone | 336-570-0770
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Fax | 336-570-0770
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | BURLINGTON
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State | NC
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Zip | 27216-0035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMIE WRIGHT STATON
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Credential | RN
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Telephone | 910-670-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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