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General NPI Number Information
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NPI Number | 1699428508
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Entity Type | Organization
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Legal Business Name | SURE CARE, LLC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 519 ROBERTS ST
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City | SHELBY
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State | NC
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Zip | 28150-5741
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Country | US
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Telephone | 980-273-5347
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 562432
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City | CHARLOTTE
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State | NC
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Zip | 28256-2432
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Country | US
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Telephone | 980-273-5347
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Fax |
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Authorized Official
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Title or Position | CNA II
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Name | GLORIA MCBRYDE
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Credential |
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Telephone | 980-273-5347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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