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General NPI Number Information
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NPI Number | 1699620922
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Entity Type | Organization
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Legal Business Name | GREATER CHANGES CENTER HOME CARE
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 9625 DAVID TAYLOR DR STE 121
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City | CHARLOTTE
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State | NC
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Zip | 28262-2362
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Country | US
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Telephone | 980-420-6864
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Fax |
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Provider Business Mailing Address
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Address Line | 4927 REEDMONT LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-1631
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Country | US
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Telephone | 980-420-6864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENIQUE SMITH
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Credential |
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Telephone | 980-322-3228
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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 |
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License Number State |
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