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General NPI Number Information
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NPI Number | 1548336712
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Entity Type | Organization
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Legal Business Name | PERSONAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 36 HALES STORE RD
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City | ZEBULON
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State | NC
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Zip | 27597-5918
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Country | US
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Telephone | 919-404-4774
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Fax | 919-404-4711
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Provider Business Mailing Address
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Address Line | 211 E SIX FORKS RD SUITE 122
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City | RALEIGH
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State | NC
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Zip | 27609-7745
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Country | US
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Telephone | 919-845-0845
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Fax | 919-845-0720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD W RUTHERFORD
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Credential |
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Telephone | 919-845-0845
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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 | HC 2498
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC 3107
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC 3108
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2355
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License Number State | NC
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