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General NPI Number Information
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NPI Number | 1881981504
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Entity Type | Organization
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Legal Business Name | ALSTON PERSONAL CARE SERVICE LLC
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 400 PRESCOTT ST 400 PRESCOTT ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1942
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Country | US
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Telephone | 336-375-8050
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Fax | 336-621-3342
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Provider Business Mailing Address
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Address Line | 400 PRESCOTT ST 400 PRESCOTT ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1942
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Country | US
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Telephone | 336-375-8050
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Fax | 336-621-3342
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Authorized Official
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Title or Position | OWNER
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Name | MS. TINA MICHELLE VANHOY
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Credential |
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Telephone | 336-375-8050
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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 | HC3220
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License Number State | NC
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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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