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General NPI Number Information
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NPI Number | 1942525654
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Entity Type | Organization
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Legal Business Name | PREFERRED ALTERNATIVES OF KY
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 2800 BREEZEWOOD AVE SUITE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5286
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Country | US
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Telephone | 910-483-5744
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Fax | 910-433-2942
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Provider Business Mailing Address
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Address Line | PO BOX 44105
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-4105
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Country | US
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Telephone | 910-483-5744
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Fax | 910-433-2942
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES R WILSON JR.
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Credential |
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Telephone | 910-483-5744
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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 |
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License Number State |
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