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General NPI Number Information
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NPI Number | 1346118171
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Entity Type | Organization
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Legal Business Name | BEYOND BASIC LIFE SKILLS
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 406 N GUM ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6830
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Country | US
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Telephone | 843-459-5472
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Fax |
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Provider Business Mailing Address
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Address Line | 406 N GUM ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6830
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Country | US
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Telephone | 843-459-5472
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER / CO-DIRECTOR
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Name | MOLLY SMITH
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Credential |
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Telephone | 843-261-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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