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General NPI Number Information
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NPI Number | 1821123100
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Entity Type | Organization
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Legal Business Name | BEACON INHOME CARE, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 CROSS STREET
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City | RUTHERFORD COLLEGE
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State | NC
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Zip | 28671-0401
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Country | US
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Telephone | 828-879-8217
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Fax | 828-874-1577
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Provider Business Mailing Address
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Address Line | PO BOX 401 110 CROSS STREET
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City | RUTHERFORD COLLEGE
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State | NC
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Zip | 28671-0401
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Country | US
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Telephone | 828-879-8217
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Fax | 828-874-1577
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Authorized Official
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Title or Position | OWNERPRESIDENT
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Name | MRS. LUCIE COATS CANNON
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Credential | RN
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Telephone | 828-879-8217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | HC2357
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License Number State | NC
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