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General NPI Number Information
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NPI Number | 1447624648
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Entity Type | Organization
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Legal Business Name | IN HOME CARE SERVICES
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 1051 SUNSHINE RD
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City | BLACKVILLE
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State | SC
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Zip | 29817-3405
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Country | US
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Telephone | 803-682-3977
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Fax |
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Provider Business Mailing Address
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Address Line | 132 BENTGRASS LN
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City | GASTON
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State | SC
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Zip | 29053-8458
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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 | CRYSTAL CREECH
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Credential |
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Telephone | 803-682-3977
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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 |
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License Number State | SC
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