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General NPI Number Information
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NPI Number | 1871665224
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Entity Type | Organization
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Legal Business Name | ASSURED CARE
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 6977 NEXUS CT SUITE 104
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2650
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Country | US
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Telephone | 910-223-0032
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Fax | 910-223-0255
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Provider Business Mailing Address
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Address Line | 6977 NEXUS CT SUITE 104
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2650
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Country | US
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Telephone | 910-223-0032
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Fax | 910-223-0255
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MISS AUDREY L. SMITH
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Credential |
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Telephone | 910-223-0032
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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 | HC2449
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License Number State | NC
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