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General NPI Number Information
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NPI Number | 1386696839
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Entity Type | Organization
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Legal Business Name | KERSHAW COUNTY ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2204 N BROAD STREET
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City | CAMDEN
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State | SC
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Zip | 29020
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Country | US
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Telephone | 803-425-9040
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Fax | 803-425-9041
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Provider Business Mailing Address
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Address Line | PO BOX 331 2204 N BROAD STREET
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City | CAMDEN
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State | SC
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Zip | 29020
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Country | US
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Telephone | 803-425-9040
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Fax | 803-425-9041
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JOYCE P CARLTON
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Credential |
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Telephone | 803-425-9040
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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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