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General NPI Number Information
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NPI Number | 1699666982
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Entity Type | Organization
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Legal Business Name | BEACON NURSING CARE LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 316 S MCQUEEN ST
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City | FLORENCE
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State | SC
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Zip | 29501-4723
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Country | US
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Telephone | 843-543-0664
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Fax |
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Provider Business Mailing Address
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Address Line | 316 S MCQUEEN ST
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City | FLORENCE
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State | SC
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Zip | 29501-4723
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Country | US
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Telephone | 843-543-0664
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATION
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Name | MORGAN EVANS
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Credential | DNP
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Telephone | 803-549-0572
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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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