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General NPI Number Information
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NPI Number | 1740896463
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Entity Type | Organization
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Legal Business Name | MEDEX HEALTH, LLC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 902 MEMORIAL DR E
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City | AHOSKIE
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State | NC
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Zip | 27910-3916
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Country | US
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Telephone | 855-329-1003
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Fax | 252-332-4515
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | AHOSKIE
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State | NC
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Zip | 27910-0506
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Country | US
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Telephone | 855-329-1003
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Fax | 252-332-4515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONNA C HURDLE
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Credential |
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Telephone | 252-287-7365
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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