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General NPI Number Information
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NPI Number | 1861469124
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Entity Type | Organization
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Legal Business Name | TRIANGLE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1432 DEER CROSSING CT
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City | HENDERSON
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State | NC
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Zip | 27536-4037
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Country | US
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Telephone | 252-492-0292
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Fax | 919-286-0076
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Provider Business Mailing Address
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Address Line | 1413 BROAD ST
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City | DURHAM
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State | NC
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Zip | 27705-3534
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Country | US
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Telephone | 919-286-0121
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Fax | 919-286-0076
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Authorized Official
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Title or Position | DIRECTOR
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Name | CONNIE TICE
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Credential |
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Telephone | 919-286-0121
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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 | HC2028
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License Number State | NC
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