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General NPI Number Information
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NPI Number | 1356150916
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Entity Type | Organization
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Legal Business Name | AGAPE CARE NORTH CAROLINA, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 374 HUDLOW RD STE B
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City | FOREST CITY
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State | NC
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Zip | 28043-9444
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Country | US
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Telephone | 800-932-2738
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Fax |
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Provider Business Mailing Address
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Address Line | 187 N CHURCH ST STE 201
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City | SPARTANBURG
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State | SC
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Zip | 29306-5154
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Country | US
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Telephone | 800-932-2738
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | PAMELA DUNCAN
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Credential |
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Telephone | 800-932-2738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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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 | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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