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General NPI Number Information
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NPI Number | 1821787102
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Entity Type | Organization
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Legal Business Name | GINIE HOME CARE SERVICES INC
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1721 BEACON BLUFF ST
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City | RALEIGH
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State | NC
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Zip | 27604-5446
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Country | US
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Telephone | 919-798-1328
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14581
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City | RALEIGH
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State | NC
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Zip | 27620-4581
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECT
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Name | MR. ANTHONY A OGIDI
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Credential | BS
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Telephone | 919-798-1328
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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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