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General NPI Number Information
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NPI Number | 1962791715
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Entity Type | Organization
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Legal Business Name | SEVA HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1900 ABBOTT ST STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28203-4497
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Country | US
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Telephone | 704-919-0955
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Fax | 704-919-0998
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Provider Business Mailing Address
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Address Line | 1900 ABBOTT ST STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28203-4497
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Country | US
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Telephone | 704-919-0955
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Fax | 704-919-0998
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Authorized Official
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Title or Position | OWNER, PRESIDENT, AGENCY DIRECTOR
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Name | MRS. KULVINDER KAUR HIJAZIN
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Credential |
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Telephone | 704-919-0955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HC3879
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3879
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC3879
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License Number State | NC
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