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General NPI Number Information
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NPI Number | 1710537014
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Entity Type | Organization
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Legal Business Name | WESTERN NC HOME CARE, LLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 164 US-64
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City | HAYESVILLE
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State | NC
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Zip | 28904
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Country | US
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Telephone | 828-415-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2267
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City | BLAIRSVILLE
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State | GA
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Zip | 30514-2267
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Country | US
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Telephone | 828-415-3300
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Fax |
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Authorized Official
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Title or Position | GM
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Name | DEBORAH KITCHENS
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Credential |
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Telephone | 828-415-3300
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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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