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General NPI Number Information
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NPI Number | 1588871305
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Entity Type | Organization
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Legal Business Name | BONDING LIVES HOME CARE AGENCY INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1206 SUMMERFIELD LN E
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City | CREEDMOOR
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State | NC
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Zip | 27522
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Country | US
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Telephone | 252-767-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 SUMMERFIELD LN E
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City | CREEDMOOR
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State | NC
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Zip | 27522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KISHA JONES HARRIS
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Credential |
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Telephone | 919-903-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC3168
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License Number State | NC
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