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General NPI Number Information
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NPI Number | 1124287016
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Entity Type | Organization
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Legal Business Name | CORNERS OF CARE LLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 3050 WHISKEY RD
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City | AIKEN
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State | SC
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Zip | 29803-9084
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Country | US
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Telephone | 803-226-0236
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Fax | 803-226-0335
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Provider Business Mailing Address
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Address Line | 3050 WHISKEY RD
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City | AIKEN
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State | SC
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Zip | 29803-9084
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Country | US
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Telephone | 803-226-0236
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Fax | 803-226-0335
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JUANITA DELORES BENJAMIN
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Credential | MBA
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Telephone | 706-394-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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