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General NPI Number Information
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NPI Number | 1578948832
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Entity Type | Organization
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Legal Business Name | CAROLINA CARE GIVER SERVICES,LLC
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 110 MEMORY PLZ
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City | WHITEVILLE
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State | NC
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Zip | 28472-2640
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Country | US
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Telephone | 910-654-1456
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Fax | 910-516-2154
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Provider Business Mailing Address
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Address Line | 110 MEMORY PLZ
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City | WHITEVILLE
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State | NC
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Zip | 28472-2640
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Country | US
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Telephone | 910-654-1456
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Fax | 910-516-2154
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MISS RACHEL MICHELLE MCDUFFIE
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Credential | CNA
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Telephone | 910-654-1456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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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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