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General NPI Number Information
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NPI Number | 1528982204
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Entity Type | Organization
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Legal Business Name | MEAL FRESH OF SOUTH CAROLINA LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 1302 4TH AVE
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City | CONWAY
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State | SC
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Zip | 29526-5018
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Country | US
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Telephone | 843-465-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 4TH AVE
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City | CONWAY
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State | SC
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Zip | 29526-5018
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Country | US
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Telephone | 843-465-6477
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY SPICER
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Credential |
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Telephone | 843-465-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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Taxonomy #5
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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