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General NPI Number Information
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NPI Number | 1780936146
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Entity Type | Organization
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Legal Business Name | RANDOLPH COUNTY SENIOR ADULTS ASSOCIATION, INC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 133 WEST WAINMAN AVE.
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City | ASHEBORO
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State | NC
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Zip | 27203
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Country | US
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Telephone | 336-629-7433
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Fax | 336-625-0660
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Provider Business Mailing Address
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Address Line | PO BOX 1852
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City | ASHEBORO
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State | NC
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Zip | 27204-1852
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Country | US
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Telephone | 336-629-7433
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Fax | 336-625-0660
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CANDIE RUDZINSKI
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Credential |
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Telephone | 336-625-3389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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