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General NPI Number Information
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NPI Number | 1558519587
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Entity Type | Organization
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Legal Business Name | T.C.C. GROUP INCORPORATED
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 4601 SIX FORKS RD SUITE 500
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City | RALEIGH
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State | NC
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Zip | 27609-5287
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Country | US
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Telephone | 919-510-8165
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Fax | 919-571-8805
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Provider Business Mailing Address
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Address Line | 4601 SIX FORKS RD SUITE 500
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City | RALEIGH
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State | NC
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Zip | 27609-5287
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Country | US
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Telephone | 919-510-8165
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Fax | 919-571-8805
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Authorized Official
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Title or Position | PESIDENT/CEO
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Name | MR. EVERTON URIAH CHRISTIE
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Credential |
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Telephone | 919-510-8165
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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 | NP3746
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License Number State | NC
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