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General NPI Number Information
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NPI Number | 1710395801
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Entity Type | Organization
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Legal Business Name | HILLCREST HOME HEALTH OF THE TRIANGLE LLC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 1000 BEAR CAT WAY SUITE 104
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City | MORRISVILLE
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State | NC
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Zip | 27560-6619
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Country | US
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Telephone | 919-286-7705
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Fax | 919-286-3772
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Provider Business Mailing Address
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Address Line | 1000 BEAR CAT WAY SUITE 104
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City | MORRISVILLE
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State | NC
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Zip | 27560-6619
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Country | US
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Telephone | 919-286-7705
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Fax | 919-286-3772
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM H HOOVER II
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Credential |
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Telephone | 919-286-7705
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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 | HC3074
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC3074
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License Number State | NC
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