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General NPI Number Information
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NPI Number | 1609267186
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Entity Type | Organization
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Legal Business Name | LIL BIT OF HEAVEN
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 204 RECTORY ST
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City | OXFORD
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State | NC
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Zip | 27565-2937
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Country | US
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Telephone | 919-339-4068
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Fax | 919-725-9320
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Provider Business Mailing Address
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Address Line | 204 RECTORY ST
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City | OXFORD
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State | NC
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Zip | 27565-2937
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Country | US
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Telephone | 919-339-4068
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Fax | 919-725-9320
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MRS. SHIRLEY EVANS THORNTON
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Credential | RN
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Telephone | 919-514-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HC4723
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License Number State | NC
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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 | HC4723
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License Number State | NC
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