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General NPI Number Information
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NPI Number | 1710633904
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Entity Type | Organization
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Legal Business Name | NANCYS HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 235 HERLONG AVE S
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City | ROCK HILL
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State | SC
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Zip | 29732-1159
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Country | US
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Telephone | 803-327-5888
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Fax | 803-327-8550
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Provider Business Mailing Address
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Address Line | 235 HERLONG AVE S
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City | ROCK HILL
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State | SC
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Zip | 29732-1159
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Country | US
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Telephone | 803-327-5888
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Fax | 803-327-8550
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | DEBORAH RUSSELL
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Credential |
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Telephone | 704-609-1342
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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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