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General NPI Number Information
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NPI Number | 1962704643
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Entity Type | Individual
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Provider Name | MRS. JUDY FOX DARDEN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 101 W GREENE ST
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City | SNOW HILL
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State | NC
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Zip | 28580-1431
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Country | US
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Telephone | 252-747-2976
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Fax | 252-747-7802
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Provider Business Mailing Address
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Address Line | PO BOX 71 101 WEST GREENE STREET
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City | SNOW HILL
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State | NC
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Zip | 28580-0071
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Country | US
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Telephone | 252-747-2976
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Fax | 252-747-7802
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | HC4249
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | HC4249
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HC4249
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC4249
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License Number State | NC
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