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General NPI Number Information
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NPI Number | 1730987090
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Entity Type | Organization
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Legal Business Name | COMPANION BENEFIT ALTERNATIVES
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 4101 PERCIVAL RD
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City | COLUMBIA
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State | SC
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Zip | 29229-8320
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Country | US
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Telephone | 800-868-1032
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100185
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City | COLUMBIA
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State | SC
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Zip | 29202-3185
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Country | US
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Telephone | 800-868-1032
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. NATALIE GULLEDGE JOHNSTON
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Credential |
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Telephone | 803-382-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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