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General NPI Number Information
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NPI Number | 1659255503
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Entity Type | Organization
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Legal Business Name | ONE CHOICE FAMILY CARE AT HOLLAND GLEN ST
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 318 HOLLAND GLEN ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-1800
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Country | US
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Telephone | 919-880-4278
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Fax | 919-200-7202
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Provider Business Mailing Address
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Address Line | 324 ROCK SPRING RD
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City | WAKE FOREST
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State | NC
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Zip | 27587-2340
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Country | US
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Telephone | 919-880-4278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MANAGING OFFICER
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Name | HELEN T ADEWUNMI
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Credential |
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Telephone | 919-880-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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