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General NPI Number Information
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NPI Number | 1598807794
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Entity Type | Organization
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Legal Business Name | BUILDING JOY IN HEALTHCARE GROUP HOME CORP
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 726 RAMSEY ST SUITE 12
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4705
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Country | US
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Telephone | 910-485-4005
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Fax | 910-485-4005
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Provider Business Mailing Address
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Address Line | 1830 EICHELBERGER DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-6257
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Country | US
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Telephone | 910-257-7236
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Fax | 910-485-4005
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Authorized Official
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Title or Position | CEO
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Name | MRS. PATRICIA A. HILL
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Credential |
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Telephone | 910-257-7236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL026725
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License Number State | NC
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