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General NPI Number Information
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NPI Number | 1235693797
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Entity Type | Organization
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Legal Business Name | NCSC HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 1565 EBENEZER RD STE 111
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City | ROCK HILL
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State | SC
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Zip | 29732-3421
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Country | US
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Telephone | 803-792-9211
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Fax | 803-693-5465
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Provider Business Mailing Address
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Address Line | 1565 EBENEZER RD STE 111
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City | ROCK HILL
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State | SC
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Zip | 29732-3421
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Country | US
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Telephone | 803-792-9211
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Fax | 803-693-5465
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Authorized Official
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Title or Position | PRESIDNT
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Name | YUSUF MUHAMMAD
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Credential |
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Telephone | 803-792-9211
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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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