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General NPI Number Information
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NPI Number | 1588964688
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Entity Type | Organization
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Legal Business Name | NC QUALITY HOME CARE
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 3007 RAEFORD ROAD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303
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Country | US
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Telephone | 910-426-2273
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Fax | 910-868-6164
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Provider Business Mailing Address
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Address Line | PO BOX 40336
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-0336
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Country | US
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Telephone | 910-426-2273
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Fax | 910-428-0838
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. KARLA DENISE SESSOMS
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Credential |
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Telephone | 910-273-3668
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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 | NC
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