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NPI 1831245489

NPI 1831245489 : SPECIALIZED TREATMENT AND AFFILIATED RESOURCES, INC : WENDELL, NC

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General NPI Number Information
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    NPI Number           |    1831245489
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPECIALIZED TREATMENT AND AFFILIATED RESOURCES, INC 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    09/13/2007
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Provider Practice Location Address
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    Address Line         |    375 E 3RD ST STE 202 
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    City                 |    WENDELL
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    State                |    NC
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    Zip                  |    27591-9708
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    Country              |    US
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    Telephone            |    919-365-9096
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    Fax                  |    919-365-9097
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Provider Business Mailing Address
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    Address Line         |    375 E. THIRD STREET SUITE 202 
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    City                 |    WENDELL
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    State                |    NC
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    Zip                  |    27591
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    Country              |    US
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    Telephone            |    919-365-9096
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    Fax                  |    919-365-9097
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. SHARON EVETTE MOORE 
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    Credential           |    
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    Telephone            |    919-365-9096
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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       |    HC3515
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    NC
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