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General NPI Number Information
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NPI Number | 1912098377
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE TRIANGLE, LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 6310 CHAPEL HILL RD SUITE 280
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City | RALEIGH
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State | NC
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Zip | 27607-4242
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Country | US
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Telephone | 919-420-0336
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Fax | 919-420-0172
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Provider Business Mailing Address
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Address Line | 6310 CHAPEL HILL RD SUITE 280
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City | RALEIGH
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State | NC
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Zip | 27607-4242
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Country | US
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Telephone | 919-420-0336
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Fax | 919-420-0172
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DONNA LOU BYRD
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Credential |
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Telephone | 919-420-0336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HC2074
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC2074
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2074
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License Number State | NC
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