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General NPI Number Information
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NPI Number | 1528205234
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Entity Type | Organization
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Legal Business Name | NUVISTA HOME HEALTH,LLC
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 7 PLOWDEN TRL
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-7213
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Country | US
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Telephone | 843-235-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PLOWDEN TRL
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-7213
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Country | US
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Telephone | 843-235-1318
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD JAMES POMPEII
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Credential | PHARMD
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Telephone | 843-235-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010632
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License Number State | SC
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