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General NPI Number Information
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NPI Number | 1770818189
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Entity Type | Organization
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Legal Business Name | ONE AT A TIME HOME HEALTH CARE
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Dates
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Enumeration Date | 10/03/2009
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Last Update Date | 10/03/2009
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Provider Practice Location Address
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Address Line | 1521 BRIDFORD PKWY APT 20A
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City | GREENSBORO
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State | NC
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Zip | 27407-2667
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Country | US
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Telephone | 336-547-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 BRIDFORD PKWY APT 20A
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City | GREENSBORO
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State | NC
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Zip | 27407-2667
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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 | DIRECTOR
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Name | DENISE HOLMAN
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Credential |
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Telephone | 335-547-0200
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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 | 218001
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License Number State | NC
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