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NPI 1619967130

NPI 1619967130 : UNIQUE HOME CARE, INC. : JEFFERSON, NC

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General NPI Number Information
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    NPI Number           |    1619967130
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIQUE HOME CARE, INC. 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    07/09/2013
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Provider Practice Location Address
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    Address Line         |    1320 US HIGHWAY 221 N 
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    City                 |    JEFFERSON
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    State                |    NC
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    Zip                  |    28640-9302
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    Country              |    US
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    Telephone            |    336-246-6991
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    Fax                  |    336-246-6927
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Provider Business Mailing Address
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    Address Line         |    1320 US HIGHWAY 221 N PO BOX 835
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    City                 |    JEFFERSON
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    State                |    NC
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    Zip                  |    28640-9302
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    Country              |    US
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    Telephone            |    336-246-6991
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    Fax                  |    336-246-6927
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. DONNA B. BADGER 
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    Credential           |    
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    Telephone            |    336-246-6991
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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       |    HC2294
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    HC1824
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    HC1881
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    HC1824
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    License Number State |    NC
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