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General NPI Number Information
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NPI Number | 1770867913
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Entity Type | Organization
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Legal Business Name | VILLAGE CAREGIVERS, LLC
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 1902 N SANDHILLS BLVD STE D
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City | ABERDEEN
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State | NC
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Zip | 28315-2347
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Country | US
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Telephone | 910-725-0340
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Fax | 910-725-0368
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Provider Business Mailing Address
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Address Line | 1902 N SANDHILLS BLVD STE D
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City | ABERDEEN
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State | NC
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Zip | 28315-2347
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Country | US
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Telephone | 910-725-0340
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Fax | 910-725-0368
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Authorized Official
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Title or Position | MANAGER
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Name | MS. LAUREL SMITH
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Credential | RN
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Telephone | 910-725-0340
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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 | NP 4247
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License Number State | NC
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