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General NPI Number Information
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NPI Number | 1104926328
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Entity Type | Organization
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Legal Business Name | LTB CONSULTING SERVICES
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 13 ELMWOOD ST
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City | CHARLESTON
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State | SC
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Zip | 29403-4301
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Country | US
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Telephone | 843-722-6355
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Fax | 843-722-2239
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Provider Business Mailing Address
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Address Line | 13 ELMWOOD ST
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City | CHARLESTON
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State | SC
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Zip | 29403-4301
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Country | US
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Telephone | 843-722-6355
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Fax | 843-722-2239
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. VEATRICE LOUISE GREEN
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Credential |
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Telephone | 843-722-6355
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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 | EX0802
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License Number State | SC
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