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General NPI Number Information
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NPI Number | 1811220148
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Entity Type | Organization
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Legal Business Name | WILLIAMSON PROFESSIONAL CARE
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 415 N EDGEWORTH ST STE 209
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City | GREENSBORO
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State | NC
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Zip | 27401-2071
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Country | US
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Telephone | 336-273-2110
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Fax | 336-273-2114
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Provider Business Mailing Address
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Address Line | PO BOX 16184
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City | GREENSBORO
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State | NC
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Zip | 27416-0184
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Country | US
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Telephone | 336-273-2110
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Fax | 336-273-2114
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Authorized Official
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Title or Position | CEO
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Name | MRS. MONACA MAYE WILLIAMSON
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Credential | QP
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Telephone | 336-273-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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