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General NPI Number Information
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NPI Number | 1588342349
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Entity Type | Organization
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Legal Business Name | AGAPE MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 1611 CLYBURN ST
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City | CAMDEN
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State | SC
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Zip | 29020-4003
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Country | US
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Telephone | 803-856-3379
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 CLYBURN ST
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City | CAMDEN
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State | SC
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Zip | 29020-4003
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Country | US
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Telephone | 803-856-3379
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIESHA DARCUS
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Credential |
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Telephone | 803-856-3379
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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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Taxonomy #2
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Taxonomy Code | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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