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General NPI Number Information
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NPI Number | 1770267809
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED HEALTHCARE LLC
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 164 MILL HOUSE LN
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City | LEXINGTON
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State | SC
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Zip | 29072-7029
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Country | US
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Telephone | 803-420-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 1456 SMYRNA RD
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City | ELGIN
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State | SC
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Zip | 29045-8903
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Country | US
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Telephone | 803-420-1209
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Fax | 604-229-1959
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHAREE LAURINE SMALLING-LEACH
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Credential | RN
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Telephone | 803-420-1209
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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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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion 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 | 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 #4
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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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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