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General NPI Number Information
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NPI Number | 1689688665
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE INC.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 404 W WARREN ST
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City | SHELBY
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State | NC
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Zip | 28150-5330
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Country | US
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Telephone | 704-480-9340
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Fax | 704-480-0814
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Provider Business Mailing Address
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Address Line | 404 W WARREN ST
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City | SHELBY
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State | NC
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Zip | 28150-5330
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Country | US
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Telephone | 704-480-9340
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Fax | 704-480-0814
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. ANNETTE FAIN
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Credential |
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Telephone | 704-480-9340
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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 | HC1765
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License Number State | NC
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