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General NPI Number Information
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NPI Number | 1699948406
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Entity Type | Organization
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Legal Business Name | AT HOME PERSONAL CARE SERVICES
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Dates
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Enumeration Date | 04/12/2008
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Last Update Date | 04/12/2008
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Provider Practice Location Address
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Address Line | 5171 UNION CHAPEL RD
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City | LUMBERTON
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State | NC
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Zip | 28360-3496
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Country | US
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Telephone | 910-258-6435
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Fax | 703-590-1142
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Provider Business Mailing Address
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Address Line | 5171 UNION CHAPEL RD
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City | LUMBERTON
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State | NC
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Zip | 28360-3496
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Country | US
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Telephone | 910-258-6435
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Fax | 703-590-1142
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROCHELLE VEDRINNA DENNING
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Credential |
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Telephone | 910-258-6435
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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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