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General NPI Number Information
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NPI Number | 1548452055
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Entity Type | Organization
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Legal Business Name | NEAL AND JOYCE PARSON
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 602 AILEEN AVE
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City | BISCOE
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State | NC
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Zip | 27209
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Country | US
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Telephone | 910-428-9234
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Fax | 910-974-4508
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Provider Business Mailing Address
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Address Line | PO BOX 543
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City | CANDOR
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State | NC
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Zip | 27229-0543
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Country | US
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Telephone | 910-974-4373
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Fax | 910-974-4308
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOYCE L PARSONS
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Credential | RN
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Telephone | 910-974-4373
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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 | FCL062003
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License Number State | NC
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