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General NPI Number Information
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NPI Number | 1821601956
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Entity Type | Organization
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Legal Business Name | BRUNT HOME HEALTH LLC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 271 ORCHARD PARK DRIVE
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City | ADVANCE
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State | NC
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Zip | 27006
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Country | US
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Telephone | 336-995-1685
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Fax | 336-941-9063
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Provider Business Mailing Address
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Address Line | 271 ORCHARD PARK DRIVE
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City | ADVANCE
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State | NC
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Zip | 27006
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Country | US
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Telephone | 336-995-1685
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Fax | 336-941-9063
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Authorized Official
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Title or Position | OWNER
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Name | MS. VENESSA BRUNT
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Credential | CNA II
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Telephone | 336-995-1685
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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 |
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License Number State |
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