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General NPI Number Information
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NPI Number | 1699625152
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Entity Type | Organization
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Legal Business Name | EDEN HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 6941 N TRENHOLM RD STE F105
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City | COLUMBIA
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State | SC
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Zip | 29206-1715
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Country | US
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Telephone | 877-312-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 6941 N TRENHOLM RD STE F105
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City | COLUMBIA
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State | SC
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Zip | 29206-1715
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Country | US
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Telephone | 877-312-3336
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | LATROY DINGLE
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Credential | FNP-BC
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Telephone | 877-312-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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