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General NPI Number Information
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NPI Number | 1558489906
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Entity Type | Organization
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Legal Business Name | WECARE FAMILY CARE
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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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 | 336-570-0775
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Provider Business Mailing 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 | 336-570-0775
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TONIA M BRUCE
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Credential |
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Telephone | 336-570-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | FCL-001-113
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License Number State | NC
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