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General NPI Number Information
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NPI Number | 1639616246
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Entity Type | Organization
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Legal Business Name | L & S HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 01/21/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 112 E ELWOOD AVE
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City | RAEFORD
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State | NC
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Zip | 28376-2921
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Country | US
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Telephone | 910-848-3788
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Fax | 910-848-2588
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Provider Business Mailing Address
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Address Line | 112 E ELWOOD AVE
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City | RAEFORD
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State | NC
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Zip | 28376-2921
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Country | US
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Telephone | 910-848-3788
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Fax | 910-848-2588
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Authorized Official
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Title or Position | CO-OWNER
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Name | MISS SHERIA S. JOHNSON
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Credential | LPN
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Telephone | 910-848-3788
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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 | HC4874
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License Number State | NC
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