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General NPI Number Information
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NPI Number | 1447980578
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Entity Type | Organization
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Legal Business Name | INFINITY HOME CARE 365 LLC.
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1304 SUNSET BLVD SUITE 1103
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City | WEST COLUMBIA
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State | SC
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Zip | 29169
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Country | US
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Telephone | 803-520-6234
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Fax | 803-520-6234
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Provider Business Mailing Address
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Address Line | 1304 SUNSET BLVD SUITE 1103
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City | WEST COLUMBIA
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State | SC
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Zip | 29169
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Country | US
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Telephone | 803-520-6234
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Fax | 803-520-6234
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT L BONDS
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Credential |
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Telephone | 803-520-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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