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General NPI Number Information
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NPI Number | 1851018022
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Entity Type | Organization
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Legal Business Name | ENCHANTED HOME HEALTHCARE
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 7 N LAFAYETTE ST STE 4
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City | SHELBY
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State | NC
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Zip | 28150-5400
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Country | US
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Telephone | 704-466-9822
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 WILDWOOD DR
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City | SHELBY
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State | NC
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Zip | 28150-2903
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Country | US
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Telephone | 704-466-9822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY BERNARD ALLISON
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Credential |
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Telephone | 704-466-9822
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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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Taxonomy #2
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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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