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General NPI Number Information
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NPI Number | 1992102800
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Entity Type | Organization
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Legal Business Name | CARDINALE HEALTHCARE HC1 INC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 6632 SUGA CIR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-6455
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Country | US
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Telephone | 888-609-1112
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Fax | 910-920-9074
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Provider Business Mailing Address
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Address Line | 6632 SUGA CIR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-6455
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Country | US
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Telephone | 910-498-2434
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Fax | 910-920-9074
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | NICOLE SMYTHE
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Credential |
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Telephone | 888-609-1112
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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 | HC4698
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HC4698
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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 | HC4698
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC4698
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License Number State | NC
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