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General NPI Number Information
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NPI Number | 1134376932
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Entity Type | Organization
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Legal Business Name | KEY CARE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 604 NORTHWOOD RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2130
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Country | US
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Telephone | 803-449-0046
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84246
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City | LEXINGTON
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State | SC
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Zip | 29073-0005
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Country | US
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Telephone | 803-490-0046
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Fax | 803-490-0036
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REBECCA GUERRA
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Credential |
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Telephone | 803-485-1284
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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