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General NPI Number Information
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NPI Number | 1942327150
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Entity Type | Organization
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Legal Business Name | ENHACING SPIRITS HOMECARE AGENCY,INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 801 W 5TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5413
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Country | US
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Telephone | 910-671-8128
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Fax | 910-671-8130
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Provider Business Mailing Address
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Address Line | 801 W 5TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5413
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Country | US
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Telephone | 910-671-8128
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Fax | 910-671-8130
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MS. LISA MARIE JACOBS
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Credential | RN
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Telephone | 910-671-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3521
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License Number State | NC
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