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NPI 1992992531

NPI 1992992531 : LAYNECARE LLC : EDEN, NC

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General NPI Number Information
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    NPI Number           |    1992992531
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAYNECARE LLC 
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Dates
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    Enumeration Date     |    09/27/2007
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    509 S VAN BUREN RD STE A
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    City                 |    EDEN
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    State                |    NC
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    Zip                  |    27288-5082
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    Country              |    US
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    Telephone            |    336-627-0146
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    Fax                  |    336-627-0149
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Provider Business Mailing Address
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    Address Line         |    509 S VAN BUREN RD STE A
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    City                 |    EDEN
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    State                |    NC
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    Zip                  |    27288-5082
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    Country              |    US
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    Telephone            |    336-627-0146
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    Fax                  |    336-627-0149
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KEVIN  LAYNE 
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    Credential           |    
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    Telephone            |    336-627-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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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        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    09912
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    License Number State |    NC
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