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General NPI Number Information
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NPI Number | 1144533654
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Entity Type | Organization
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Legal Business Name | ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3294 ASHLEY PHOSPHATE RD STE F C
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City | N CHARLESTON
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State | SC
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Zip | 29418
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Country | US
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Telephone | 866-284-6331
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Fax | 843-569-0062
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Provider Business Mailing Address
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Address Line | 801 WARRENVILLE RD STE 800
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City | LISLE
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State | IL
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Zip | 60532-0912
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Country | US
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Telephone | 630-296-3400
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Fax | 630-478-2713
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Authorized Official
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Title or Position | NATIONAL CONTRACTS
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Name | MS. DIANE KUMARICH
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Credential | RN, MS, MBA
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Telephone | 630-296-3400
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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 |
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License Number State |
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