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General NPI Number Information
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NPI Number | 1952011009
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Entity Type | Organization
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Legal Business Name | GOODCHOICE HOMECARE SERVICES INCO
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 2917 FAIRWAY DR
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City | RALEIGH
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State | NC
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Zip | 27603-3124
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Country | US
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Telephone | 919-345-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 SHINNWYCK CT
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City | RALEIGH
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State | NC
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Zip | 27604-6519
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHIOMA OKOROAFOR
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Credential |
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Telephone | 919-345-8829
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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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