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General NPI Number Information
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NPI Number | 1700221975
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Entity Type | Organization
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Legal Business Name | HAMPTON HOUSE FAMILY CARE HOME
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 2173 FORT CREEK RD
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City | FRANKLINTON
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State | NC
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Zip | 27525-8118
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Country | US
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Telephone | 919-528-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 2173 FORT CREEK RD
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City | FRANKLINTON
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State | NC
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Zip | 27525-8118
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Country | US
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Telephone | 919-528-5027
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS RICANNE CHRISTINE CROLL
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Credential | RN
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Telephone | 919-523-0841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL039012
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License Number State | NC
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