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General NPI Number Information
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NPI Number | 1619576311
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Entity Type | Organization
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Legal Business Name | FREEDOM NOW HOME CARE-NC, LLC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 9635 SOUTHERN PINE BLVD OFC PARK
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City | CHARLOTTE
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State | NC
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Zip | 28273-5540
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Country | US
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Telephone | 980-221-1273
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Fax |
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Provider Business Mailing Address
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Address Line | 9635 SOUTHERN PINE BLVD OFC PARK
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City | CHARLOTTE
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State | NC
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Zip | 28273-5540
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Country | US
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Telephone | 980-221-1273
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Fax |
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Authorized Official
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Title or Position | AGENT DIRECTOR
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Name | MISS KAHLENA M EDWARDS
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Credential | MBA
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Telephone | 814-418-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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