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General NPI Number Information
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NPI Number | 1386060176
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Entity Type | Organization
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Legal Business Name | APRICOT HEALTHCARE AGENCY
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 1809 LAURENS RD
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City | GREENVILLE
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State | SC
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Zip | 29607-2910
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Country | US
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Telephone | 864-214-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 902 WEST ST
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City | DILLON
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State | SC
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Zip | 29536-3953
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Country | US
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Telephone | 864-386-7945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NELZARIE I WYNN
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Credential | LPN
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Telephone | 864-386-7945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 200686
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License Number State | SC
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