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General NPI Number Information
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NPI Number | 1023977964
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Entity Type | Organization
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Legal Business Name | HAZEL CARES LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 2423 HIGHWAY 17 S
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-4343
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Country | US
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Telephone | 917-627-4903
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 HIGHWAY 17 S
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-4343
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Country | US
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Telephone | 917-627-4903
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JANICE MARIE JEFFERSON SHEPPARD
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Credential | RN
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Telephone | 843-489-1302
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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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