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General NPI Number Information
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NPI Number | 1568882421
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Entity Type | Organization
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Legal Business Name | S&K HOME CARE,INC
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 2504 RAEFORD RD STE 113
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5294
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Country | US
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Telephone | 910-920-3883
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Fax | 910-920-3758
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Provider Business Mailing Address
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Address Line | 2504 RAEFORD RD STE 113
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5294
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Country | US
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Telephone | 910-920-3883
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Fax | 910-920-3758
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Authorized Official
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Title or Position | OWNER
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Name | SHUVAN MITCHELL
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Credential |
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Telephone | 910-920-3883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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