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General NPI Number Information
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NPI Number | 1841931334
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Entity Type | Organization
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Legal Business Name | ABOVE ALL HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 5511 RAEFORD RD STE 204
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2059
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Country | US
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Telephone | 910-339-2550
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Fax | 910-339-2552
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Provider Business Mailing Address
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Address Line | 35 FALLING WATER RD
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City | SPRING LAKE
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State | NC
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Zip | 28390-7005
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Country | US
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Telephone | 910-930-2551
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Fax | 910-339-2552
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY HAMILTON
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Credential |
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Telephone | 910-339-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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