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General NPI Number Information
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NPI Number | 1417557950
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Entity Type | Organization
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Legal Business Name | HOSPICE SERVICES OF SC, LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 233 WEST AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3813
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Country | US
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Telephone | 706-834-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 233 WEST AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3813
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Country | US
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Telephone | 706-834-8196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER RUD
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Credential |
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Telephone | 706-834-8196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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