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General NPI Number Information
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NPI Number | 1134169634
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Entity Type | Organization
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Legal Business Name | SOUTHERNCARE, INC.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 720 GRACERN RD STE 122
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City | COLUMBIA
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State | SC
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Zip | 29210-7655
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Country | US
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Telephone | 803-750-9600
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Fax | 803-750-9050
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Provider Business Mailing Address
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Address Line | 2204 LAKESHORE DR SUITE 475
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6705
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Country | US
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Telephone | 205-868-4400
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Fax | 205-868-4401
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. MICHAEL J PARSONS
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Credential |
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Telephone | 205-868-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HPC082
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License Number State | SC
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