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General NPI Number Information
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NPI Number | 1548207095
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Entity Type | Organization
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Legal Business Name | RELIABLE HEALTHCARE
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 117 RAILROAD ST N
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City | AHOSKIE
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State | NC
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Zip | 27910-3040
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Country | US
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Telephone | 252-332-7955
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Fax | 252-332-6788
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Provider Business Mailing Address
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Address Line | 117 RAILROAD ST N
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City | AHOSKIE
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State | NC
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Zip | 27910-3040
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Country | US
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Telephone | 252-332-7955
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Fax | 252-332-6788
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MARILYN CHAVIS WATFORD
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Credential |
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Telephone | 252-332-7955
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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 | HC1302
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License Number State | NC
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