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General NPI Number Information
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NPI Number | 1679153571
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Entity Type | Organization
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Legal Business Name | AFFLUENT TREASURES LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 307 MELBOURNE RD
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City | GREENSBORO
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State | NC
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Zip | 27405-4319
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Country | US
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Telephone | 336-505-9605
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Fax | 888-371-6371
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Provider Business Mailing Address
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Address Line | 2406 PINEVIEW DR
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City | GREENSBORO
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State | NC
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Zip | 27407-4730
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Country | US
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Telephone | 336-505-9605
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. KESHEA LANELL MONTGOMERY
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Credential |
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Telephone | 336-505-9605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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