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General NPI Number Information
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NPI Number | 1417185752
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Entity Type | Organization
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Legal Business Name | CUDDLE CARE NURSING INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 111 1/2 EAST BROADWAY STREET
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City | JOHNSONVILLE
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State | SC
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Zip | 29555-1160
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Country | US
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Telephone | 843-483-4213
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Fax | 843-483-4202
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Provider Business Mailing Address
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Address Line | PO BOX 1160
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City | JOHNSONVILLE
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State | SC
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Zip | 29555-1160
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Country | US
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Telephone | 843-483-4213
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Fax | 843-483-4202
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SONDRA ANN CAPPS
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Credential |
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Telephone | 843-483-4213
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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 | EX0963
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License Number State | SC
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