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General NPI Number Information
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NPI Number | 1982593034
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Entity Type | Individual
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Provider Name | MS. AGNES K KIRKPATRICK
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 220 TILLERY LANE LOT 746
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City | MT GILEAD
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State | NC
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Zip | 27306
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Country | US
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Telephone | 980-399-1704
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Fax | 704-919-0595
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Provider Business Mailing Address
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Address Line | PO BOX 38233
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City | CHARLOTTE
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State | NC
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Zip | 28278-1003
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Country | US
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Telephone | 980-399-1704
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Fax | 704-919-0595
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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Taxonomy #4
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Taxonomy Code | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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Taxonomy #7
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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