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General NPI Number Information
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NPI Number | 1043555345
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Entity Type | Organization
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Legal Business Name | RK SMITH LLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 1691 KATY LN SUITE A
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City | FORT MILL
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State | SC
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Zip | 29708-8974
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Country | US
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Telephone | 803-547-8400
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Fax | 803-547-8402
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Provider Business Mailing Address
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Address Line | 1691 KATY LN SUITE A
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City | FORT MILL
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State | SC
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Zip | 29708-8974
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Country | US
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Telephone | 803-547-8400
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Fax | 803-547-8402
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. KAY SMITH
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Credential |
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Telephone | 803-547-8400
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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 | NONE REQUIRED
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License Number State | SC
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