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General NPI Number Information
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NPI Number | 1124213814
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Entity Type | Organization
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Legal Business Name | NOC HOME CARE LLC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 112 ANDERSON ROAD
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City | ROCK HILL
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State | SC
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Zip | 29730-3335
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Country | US
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Telephone | 803-327-0909
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Fax | 803-327-7818
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Provider Business Mailing Address
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Address Line | PO BOX 1237
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City | DARLINGTON
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State | SC
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Zip | 29532-3516
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Country | US
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Telephone | 843-383-8579
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Fax | 843-393-7131
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE C MCELVEEN
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Credential |
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Telephone | 843-393-4230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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