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General NPI Number Information
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NPI Number | 1538032594
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Entity Type | Organization
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Legal Business Name | THIS IS LIFE
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 402 SECOTA VLG
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City | COLUMBIA
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State | NC
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Zip | 27925-9659
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Country | US
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Telephone | 252-420-1167
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 658
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City | COLUMBIA
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State | NC
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Zip | 27925-0658
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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 | OWNER
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Name | ANDREA LEIGH
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Credential | PCA
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Telephone | 252-420-1167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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