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General NPI Number Information
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NPI Number | 1780838474
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Entity Type | Organization
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Legal Business Name | AN&FC'S RESIDENTIAL CARE
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Dates
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Enumeration Date | 11/09/2008
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Last Update Date | 11/09/2008
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Provider Practice Location Address
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Address Line | 544 COX MADDOX RD
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City | SANFORD
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State | NC
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Zip | 27332-8019
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Country | US
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Telephone | 910-644-8241
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Fax | 919-842-3504
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Provider Business Mailing Address
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Address Line | PO BOX 9543
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9088
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Country | US
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Telephone | 919-842-5422
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Fax | 919-842-3504
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MS. VALENCIA T. HANDY
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Credential |
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Telephone | 910-644-8241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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