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General NPI Number Information
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NPI Number | 1811171846
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Entity Type | Organization
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Legal Business Name | PRECIOUS CARE HOME CARE AGENCY
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 125 MAIN ST OFFICE 5&6
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City | OXFORD
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State | NC
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Zip | 27565-3318
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Country | US
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Telephone | 919-693-7017
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Fax | 919-693-1318
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Provider Business Mailing Address
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Address Line | 125 MAIN ST OFFICE 5&6
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City | OXFORD
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State | NC
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Zip | 27565-3318
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Country | US
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Telephone | 919-693-7017
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Fax | 919-693-1318
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. SARAH R. BROOKS
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Credential |
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Telephone | 919-693-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | HC3612
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License Number State | NC
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