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General NPI Number Information
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NPI Number | 1821125139
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Entity Type | Organization
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Legal Business Name | CAROLINA ASSISTED CARE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 117 MOUNTAIN CREEK RD
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-8678
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Country | US
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Telephone | 828-287-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 120 WYOMING ST
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City | SPINDALE
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State | NC
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Zip | 28160-1429
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Country | US
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Telephone | 828-287-0001
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Fax | 866-429-3081
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Authorized Official
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Title or Position | OWNER
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Name | CLIFTON BRISCO BUTLER
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Credential |
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Telephone | 828-287-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2503
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License Number State | NC
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