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General NPI Number Information
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NPI Number | 1700241296
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Entity Type | Organization
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Legal Business Name | INSPIRE RESIDENTIAL SERVICES
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 118 TURNAGE DR
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City | WASHINGTON
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State | NC
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Zip | 27889-6038
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Country | US
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Telephone | 252-833-4387
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Fax | 252-940-0156
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Provider Business Mailing Address
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Address Line | PO BOX 594
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City | WASHINGTON
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State | NC
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Zip | 27889-0594
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Country | US
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Telephone | 252-833-4387
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Fax | 252-940-0156
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMEKA JENKINS
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Credential |
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Telephone | 252-916-4127
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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 |
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License Number State |
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