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General NPI Number Information
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NPI Number | 1750416558
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Entity Type | Organization
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Legal Business Name | MISS DAISY'S & ASSOCIATES, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 500 WARD BLVD #C
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City | WILSON
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State | NC
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Zip | 27893-1753
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Country | US
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Telephone | 252-291-4915
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Fax | 252-291-6962
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Provider Business Mailing Address
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Address Line | PO BOX 1991 #C
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City | WILSON
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State | NC
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Zip | 27894-1991
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Country | US
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Telephone | 252-291-4915
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Fax | 252-291-6962
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. BARBARA MINCEYS
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Credential | OWNER
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Telephone | 252-291-4915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | NC
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