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General NPI Number Information
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NPI Number | 1497189930
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Entity Type | Organization
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Legal Business Name | NATURAL HOME CARE, LLC
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Dates
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Enumeration Date | 09/01/2013
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Last Update Date | 09/01/2013
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Provider Practice Location Address
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Address Line | 203 W MAIN ST OFC G-6
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City | LEXINGTON
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State | SC
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Zip | 29072-2633
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Country | US
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Telephone | 803-399-8052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 985
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City | LEXINGTON
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State | SC
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Zip | 29071-0985
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Country | US
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Telephone | 803-399-8052
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENEKIA M NICK
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Credential |
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Telephone | 803-622-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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