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General NPI Number Information
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NPI Number | 1760873855
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CARE HOME CARE INC.
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 817 DURHAM ST
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City | BURLINGTON
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State | NC
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Zip | 27217-1311
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Country | US
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Telephone | 336-270-8018
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Fax | 336-270-8172
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Provider Business Mailing Address
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Address Line | PO BOX 2573
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City | BURLINGTON
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State | NC
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Zip | 27216-2573
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR OF ADMINSTRATION
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Name | HAZEL HARRELSON
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Credential |
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Telephone | 336-350-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC4722
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License Number State | NC
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