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General NPI Number Information
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NPI Number | 1720940646
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Entity Type | Organization
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Legal Business Name | CAROLINA RESPITE LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3219 DECAPOLIS DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-1878
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Country | US
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Telephone | 703-898-5921
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Fax |
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Provider Business Mailing Address
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Address Line | 3878 FAIRLADY LN
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City | INDIAN LAND
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State | SC
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Zip | 29707-0600
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Country | US
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Telephone | 703-898-5921
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | OREN GOLANSKI
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Credential |
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Telephone | 703-898-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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