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General NPI Number Information
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NPI Number | 1679937361
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Entity Type | Organization
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Legal Business Name | COMPANION MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 29 GAMECOCK AVE STE 101
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City | CHARLESTON
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State | SC
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Zip | 29407-3366
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Country | US
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Telephone | 843-571-3000
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Fax | 843-571-1111
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Provider Business Mailing Address
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Address Line | 11 GAMECOCK AVE STE 1105
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City | CHARLESTON
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State | SC
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Zip | 29407-3380
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Country | US
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Telephone | 843-571-3000
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Fax | 843-571-1111
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. KENZIE BROGDEN TAYLOR
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Credential |
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Telephone | 843-571-3000
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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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