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General NPI Number Information
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NPI Number | 1699086884
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Entity Type | Organization
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Legal Business Name | B&L ADVANCED HOME CARE,INC.
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 120 WEST MAIN STREET
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City | YADKINVILLE
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State | NC
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Zip | 27055-8841
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Country | US
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Telephone | 336-677-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 120 WEST MAIN STREET
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City | YADKINVILLE
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State | NC
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Zip | 27055
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Country | US
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Telephone | 336-677-1002
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LOUISE MCCOY PARDUE
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Credential |
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Telephone | 336-677-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC4264
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License Number State | NC
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