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General NPI Number Information
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NPI Number | 1609796762
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Entity Type | Organization
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Legal Business Name | BERKELEY HOME CLINIC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1008 OLD HIGHWAY 52 STE E
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3011
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Country | US
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Telephone | 843-830-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CHURCHILL RD
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City | MONCKS CORNER
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State | SC
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Zip | 29461-7134
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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 | FAMILY NURSE PRACTITIONER
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Name | RACHEL MARIE BAILEY
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Credential | FNP-C
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Telephone | 843-830-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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