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General NPI Number Information
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NPI Number | 1679631287
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Entity Type | Organization
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Legal Business Name | IN-HOME HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 1710 S FRASER STREET
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City | GEORGETOWN
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State | SC
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Zip | 29440-3910
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Country | US
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Telephone | 843-527-2752
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Fax | 843-545-9854
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Provider Business Mailing Address
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Address Line | PO BOX 398
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City | GEORGETOWN
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State | SC
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Zip | 29442-0398
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Country | US
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Telephone | 843-527-2752
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Fax | 843-545-9854
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Authorized Official
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Title or Position | VP
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Name | PATRICK T ETHRIDGE
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Credential |
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Telephone | 843-527-2752
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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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