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General NPI Number Information
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NPI Number | 1962316166
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Entity Type | Organization
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Legal Business Name | ANJIE'S HOME CARE LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 2101 SARDIS RD N STE 120B
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City | CHARLOTTE
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State | NC
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Zip | 28227-7711
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Country | US
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Telephone | 704-649-3254
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 SARDIS RD N STE 120B
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City | CHARLOTTE
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State | NC
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Zip | 28227-7711
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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 | OWNER
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Name | NINA FOMBUH
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Credential |
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Telephone | 508-840-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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