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General NPI Number Information
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NPI Number | 1245855931
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Entity Type | Organization
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Legal Business Name | ATTENTIVE HOME CARE LLC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 206 PINEHAVEN DR
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City | TILLMAN
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State | SC
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Zip | 29943-2837
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Country | US
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Telephone | 843-305-9239
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Fax | 803-888-4067
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Provider Business Mailing Address
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Address Line | PO BOX 47
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City | TILLMAN
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State | SC
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Zip | 29943-0047
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Country | US
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Telephone | 843-305-9239
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Fax | 803-888-4067
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Authorized Official
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Title or Position | CERTIFIED NURSING ASSISTANT
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Name | TABATHA TOOMER
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Credential |
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Telephone | 843-305-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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