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General NPI Number Information
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NPI Number | 1710056783
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Entity Type | Organization
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Legal Business Name | UPSCALE RESIDENTIAL CARE, INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 302 LIMESTONE RD. HWY 50
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City | KENANSVILLE
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State | NC
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Zip | 28349-9020
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Country | US
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Telephone | 910-296-0310
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Fax | 910-525-4963
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Provider Business Mailing Address
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Address Line | PO BOX 708
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City | KENANSVILLE
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State | NC
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Zip | 28349-0708
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Country | US
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Telephone | 910-296-0310
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Fax | 910-296-0488
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VENDIA CURRIE
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Credential |
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Telephone | 910-296-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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