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General NPI Number Information
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NPI Number | 1497401178
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Entity Type | Organization
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Legal Business Name | COMMANDER NURSING CENTER, INC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 4438 PAMPLICO HWY
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City | FLORENCE
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State | SC
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Zip | 29505-8502
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Country | US
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Telephone | 843-669-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 4438 PAMPLICO HWY
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City | FLORENCE
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State | SC
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Zip | 29505-8502
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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 | ADMINISTRATOR
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Name | JOE COMMANDER
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Credential |
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Telephone | 843-669-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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