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General NPI Number Information
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NPI Number | 1588897235
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Entity Type | Organization
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Legal Business Name | CMI HOME CARE, INC.
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 112 S OLD STATESVILLE RD SUITE 102
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7803
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Country | US
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Telephone | 704-274-2027
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Fax | 704-706-9614
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Provider Business Mailing Address
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Address Line | 112 S OLD STATESVILLE RD SUITE 102
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7803
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Country | US
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Telephone | 704-274-2027
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Fax | 704-706-9614
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Authorized Official
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Title or Position | AGENCY OWNER
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Name | MR. DOUGLAS J THOMAS
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Credential |
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Telephone | 704-274-2027
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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 | HC3874
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License Number State | NC
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