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General NPI Number Information
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NPI Number | 1639127863
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Entity Type | Organization
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Legal Business Name | GUARDIAN HEALTH SERVICES
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 328 MULBERRY ST SW SUITE 4
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City | LENOIR
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State | NC
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Zip | 28645-5717
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Country | US
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Telephone | 828-757-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 343 2ND ST NW
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City | HICKORY
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State | NC
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Zip | 28601-4904
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Country | US
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Telephone | 828-324-3025
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PEGGY S MALLARD
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Credential | MAED
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Telephone | 828-324-3025
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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 | HC0057
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License Number State | NC
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