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General NPI Number Information
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NPI Number | 1902596463
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Entity Type | Organization
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Legal Business Name | JOYCE MARIE HOME CARE
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 1500 BRAGG BLVD STE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4289
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Country | US
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Telephone | 910-995-7564
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 BRAGG BLVD STE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4289
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Country | US
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Telephone | 910-995-7564
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Fax |
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Authorized Official
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Title or Position | AGENCY OWNER
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Name | TASKILA MCMILLAN
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Credential |
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Telephone | 910-995-7564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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