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General NPI Number Information
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NPI Number | 1841962610
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Entity Type | Organization
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Legal Business Name | SHORE HOME CARE TRANSPORTATION
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 1386 WESTGATE CENTER DR STE C
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3103
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Country | US
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Telephone | 336-287-3866
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Fax | 336-765-0736
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Provider Business Mailing Address
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Address Line | 1386 WESTGATE CENTER DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3103
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Country | US
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Telephone | 336-287-3866
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Fax | 336-765-0736
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VANESSA LITTLE
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Credential | OWNER
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Telephone | 336-765-3635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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