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General NPI Number Information
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NPI Number | 1932379831
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Entity Type | Organization
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Legal Business Name | MAJESTIC HOME CARE
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 303 1/2 S MAIN ST
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City | RED SPRINGS
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State | NC
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Zip | 28377-1623
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Country | US
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Telephone | 910-843-6917
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Fax | 910-843-6915
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Provider Business Mailing Address
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Address Line | 321 N VANCE ST
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City | RED SPRINGS
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State | NC
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Zip | 28377-1341
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Country | US
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Telephone | 910-843-6917
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Fax | 910-843-6915
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. RODNEY STEVEN TAYLOR
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Credential |
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Telephone | 910-843-6917
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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 | HC2866
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License Number State | NC
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