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General NPI Number Information
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NPI Number | 1659490456
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Entity Type | Organization
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Legal Business Name | METRO NURSING INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 10/27/2008
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Provider Practice Location Address
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Address Line | 1531 WESTBROOK PLAZA DR SUITE G
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1330
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Country | US
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Telephone | 336-765-5721
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Fax | 336-765-6752
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Provider Business Mailing Address
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Address Line | 1531 WESTBROOK PLAZA DR SUITE G
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1330
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Country | US
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Telephone | 336-765-5721
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Fax | 336-765-6752
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | MR. CAL CRADDOCK
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Credential | B.A.
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Telephone | 336-765-5721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC0068
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License Number State | NC
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