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General NPI Number Information
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NPI Number | 1699395954
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 454 ANDERSON RD S
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City | ROCK HILL
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State | SC
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Zip | 29730-3392
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Country | US
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Telephone | 803-207-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 ALBATROSS LN
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City | MATTHEWS
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State | NC
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Zip | 28104-3430
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Country | US
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Telephone | 704-882-7557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA JONES STALLWORTH
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Credential |
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Telephone | 704-882-7557
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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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