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General NPI Number Information
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NPI Number | 1982241949
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Entity Type | Organization
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Legal Business Name | B UNIQUE HAYNES HOME CARE INC
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 707 MURCHISON RD STE 14
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7012
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Country | US
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Telephone | 910-977-6282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48817
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City | CUMBERLAND
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State | NC
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Zip | 28331-8817
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Country | US
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Telephone | 910-977-6282
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RAMONA HAYNESDOSS
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Credential |
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Telephone | 910-977-6286
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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 |
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