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General NPI Number Information
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NPI Number | 1710708599
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Entity Type | Organization
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Legal Business Name | CAROLINA NUCLEAR GROUP, LLC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 150 COACH LIGHT WAY SW SUITE 200
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City | AIKEN
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State | SC
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Zip | 29803
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Country | US
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Telephone | 803-642-2717
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Fax | 803-887-1115
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Provider Business Mailing Address
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Address Line | 725 RIDING RIDGE CT
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City | AIKEN
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State | SC
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Zip | 29801-0686
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Country | US
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Telephone | 803-257-0894
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CARLTON BROOKS SHEALY III
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Credential | RN
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Telephone | 803-257-0894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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 #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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