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General NPI Number Information
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NPI Number | 1740168640
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Entity Type | Organization
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Legal Business Name | THE AVALIB CARE CART, LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 446 GANTTS GROVE CHURCH RD
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City | MOORESBORO
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State | NC
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Zip | 28114-9612
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Country | US
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Telephone | 704-418-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 446 GANTTS GROVE CHURCH RD
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City | MOORESBORO
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State | NC
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Zip | 28114-9612
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Country | US
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Telephone | 704-418-1002
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. AMY LIANN MITCHELL-PARKER
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Credential | CCMA
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Telephone | 704-418-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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