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General NPI Number Information
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NPI Number | 1053132381
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Entity Type | Organization
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Legal Business Name | A CAROLINA HOMECARE AGENCY
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 140 STONERIDGE DR STE 430
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City | COLUMBIA
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State | SC
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Zip | 29210-8276
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Country | US
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Telephone | 839-500-9680
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Fax | 803-233-3775
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Provider Business Mailing Address
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Address Line | 140 STONERIDGE DR STE 430
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City | COLUMBIA
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State | SC
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Zip | 29210-8276
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Country | US
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Telephone | 843-518-1812
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Fax | 803-233-3775
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RACHEL WILLIS
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Credential | RN
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Telephone | 843-518-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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