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General NPI Number Information
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NPI Number | 1871457127
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE IN HOME LIVING ASSISTANCE
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6608 REEDY CREEK RD
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City | CHARLOTTE
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State | NC
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Zip | 28215-6093
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Country | US
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Telephone | 980-242-6568
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 620164
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City | CHARLOTTE
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State | NC
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Zip | 28262-0102
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Country | US
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Telephone | 980-242-6568
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGEMENT
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Name | TANESHA THOMAS
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Credential |
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Telephone | 864-494-1432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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