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General NPI Number Information
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NPI Number | 1013974310
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Entity Type | Organization
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Legal Business Name | MARION COUNTY COUNCIL ON AGING
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 307 W DOZIER ST
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City | MARION
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State | SC
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Zip | 29571-2803
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Country | US
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Telephone | 843-423-4981
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Fax | 843-423-4371
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Provider Business Mailing Address
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Address Line | 307 W DOZIER ST
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City | MARION
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State | SC
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Zip | 29571-2803
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Country | US
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Telephone | 843-423-4981
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Fax | 843-423-4371
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Authorized Official
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Title or Position | EX. DIRECTOR
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Name | MS. EDNA ROGERS
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Credential |
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Telephone | 843-423-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251EX00000X
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License Number State | SC
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