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General NPI Number Information
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NPI Number | 1770634487
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/04/2019
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Provider Practice Location Address
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Address Line | 592 OCEAN HWY W
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City | SUPPLY
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State | NC
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Zip | 28462-4046
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Country | US
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Telephone | 910-755-8044
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Fax | 910-755-7626
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Provider Business Mailing Address
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Address Line | PO BOX 2249
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City | WHITEVILLE
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State | NC
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Zip | 28472-7249
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Country | US
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Telephone | 910-642-2106
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Fax | 910-642-6903
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Authorized Official
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Title or Position | PRESIDENT - OWNER
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Name | MRS. DONNA L BYRD
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Credential |
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Telephone | 910-642-2106
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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 | HC3460
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License Number State | NC
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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 | HC3460
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License Number State | NC
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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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