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NPI 1700538733

NPI 1700538733 : LIFE NET SERVICES : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1700538733
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE NET SERVICES 
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Dates
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    Enumeration Date     |    01/20/2022
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    Last Update Date     |    03/28/2025
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Provider Practice Location Address
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    Address Line         |    1014 HAY ST 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28305-5316
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    Country              |    US
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    Telephone            |    910-745-8895
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    Fax                  |    910-758-8254
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Provider Business Mailing Address
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    Address Line         |    PO BOX 87024 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28304-7024
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    Country              |    US
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    Telephone            |    910-745-8895
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALICIA  ROBERSON 
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    Credential           |    
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    Telephone            |    910-745-8895
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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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Taxonomy #2
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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