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General NPI Number Information
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NPI Number | 1659379972
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Entity Type | Organization
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Legal Business Name | MID-CAROLINA HOMECARE SPECIALISTS
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 AIRPORT BLVD SUITE 500
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City | MORRISVILLE
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State | NC
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Zip | 27560-8489
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Country | US
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Telephone | 919-465-9300
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Fax | 919-465-9310
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Provider Business Mailing Address
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Address Line | 600 AIRPORT BLVD SUITE 500
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City | MORRISVILLE
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State | NC
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Zip | 27560-8489
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Country | US
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Telephone | 919-465-9300
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Fax | 919-465-9310
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Authorized Official
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Title or Position | REIMBURSEMENT MANAGER
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Name | DESIREE MCCULLOUGH
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Credential | MBA
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Telephone | 919-465-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HC1801
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07363
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | HC1801
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HC1801
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 07363
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License Number State | NC
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