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General NPI Number Information
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NPI Number | 1023812930
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Entity Type | Organization
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Legal Business Name | SCM HOME CARE LLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1427 LAURENS RD STE H1
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City | GREENVILLE
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State | SC
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Zip | 29607-2360
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Country | US
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Telephone | 864-900-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RUTGERS WAY
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City | MAULDIN
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State | SC
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Zip | 29662-1886
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Country | US
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Telephone | 864-900-1133
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DASHENEICK NICHOLSON
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Credential |
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Telephone | 864-900-1133
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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 |
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License Number State |
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