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General NPI Number Information
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NPI Number | 1376069062
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Entity Type | Organization
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Legal Business Name | CAROLINA PERSONAL TOUCH
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 6296 RIVERS AVE STE 303
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4973
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Country | US
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Telephone | 843-203-3473
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Fax |
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Provider Business Mailing Address
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Address Line | 6296 RIVERS AVE STE 303
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4973
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE SINGLETON
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Credential |
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Telephone | 843-513-5711
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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 | IHCP-0748
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License Number State | SC
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