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General NPI Number Information
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NPI Number | 1740343540
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Entity Type | Organization
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Legal Business Name | DELMAX HEALTHCARE AGENCY, INC.
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 W MAIN ST SUITE 202B
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City | DURHAM
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State | NC
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Zip | 27701-3228
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Country | US
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Telephone | 919-688-0971
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Fax | 919-688-0976
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Provider Business Mailing Address
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Address Line | 201 W MAIN ST SUITE 202B
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City | DURHAM
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State | NC
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Zip | 27701-3228
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Country | US
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Telephone | 919-688-0971
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Fax | 919-688-0976
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DELORES MAXINE PASSMORE
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Credential | LPN
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Telephone | 919-688-0971
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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 | HC3340
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License Number State | NC
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