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General NPI Number Information
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NPI Number | 1649163221
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Entity Type | Individual
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Provider Name | ELIZABETH HUMPHRIES RT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 108 WAYSIDE DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-2960
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Country | US
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Telephone | 803-240-2953
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Fax |
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Provider Business Mailing Address
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Address Line | SC HOUSE CALLS INC. 111 DOCTORS CIR.
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 800-491-0909
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number | 5138
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License Number State | SC
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