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General NPI Number Information
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NPI Number | 1770925299
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Entity Type | Organization
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Legal Business Name | HOLISTIC NURSING GROUP
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 620 S ELM ST UNIT 328
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City | GREENSBORO
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State | NC
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Zip | 27406-1370
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Country | US
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Telephone | 877-262-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 BATTLEGROUND AVE STE A UNIT 176
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City | GREENSBORO
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State | NC
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Zip | 27408-1925
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Country | US
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Telephone | 877-262-0268
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. ERLINA KEARSE LEWIS
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Credential | R.N
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Telephone | 877-262-0268
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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 | 269003
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License Number State | NC
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