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General NPI Number Information
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NPI Number | 1679693600
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Entity Type | Organization
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Legal Business Name | MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 248 LIVERMORE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-8616
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Country | US
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Telephone | 910-867-0215
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41135
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-1135
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Country | US
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Telephone | 910-867-0215
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOYCE MCLEOD
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Credential |
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Telephone | 910-867-0215
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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 | FCL-026-008
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License Number State | NC
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