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General NPI Number Information
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NPI Number | 1124981063
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Entity Type | Organization
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Legal Business Name | BEAUTIFULLY CARED LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 803 PURCELL DR
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City | WOODRUFF
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State | SC
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Zip | 29388-1969
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Country | US
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Telephone | 864-670-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 518 E MAIN ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1927
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Country | US
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Telephone | 864-670-0373
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Fax |
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Authorized Official
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Title or Position | CERTIFIED MEDICAL ASSISTANT
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Name | KIMBERLY JACKSON
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Credential | CEO
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Telephone | 803-446-0761
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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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