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General NPI Number Information
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NPI Number | 1548863137
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Entity Type | Organization
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Legal Business Name | DOYTEM HOME CARE SERVICES
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 7356 GARNERS FERRY RD STE 220
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City | COLUMBIA
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State | SC
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Zip | 29209-2146
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Country | US
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Telephone | 803-556-7785
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Fax |
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Provider Business Mailing Address
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Address Line | 11 KARNVILLA CT
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City | COLUMBIA
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State | SC
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Zip | 29229-7836
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Country | US
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Telephone | 803-556-7785
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLUSEGUN VICTOR ADESODUN
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Credential |
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Telephone | 803-556-7785
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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 |
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License Number State |
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