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General NPI Number Information
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NPI Number | 1578828539
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Entity Type | Organization
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Legal Business Name | FRIENDS OF THE MIDLANDS
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 101 RICE BENT WAY BUILDING 6
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City | COLUMBIA
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State | SC
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Zip | 29229-6849
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Country | US
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Telephone | 803-736-5959
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Fax | 803-632-7110
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Provider Business Mailing Address
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Address Line | 101 RICE BENT WAY BUILDING 6
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City | COLUMBIA
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State | SC
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Zip | 29229-6849
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Country | US
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Telephone | 803-736-5959
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Fax | 803-632-7110
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | MR. KENNETH SUMMERS
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Credential |
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Telephone | 803-736-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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