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General NPI Number Information
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NPI Number | 1780736710
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Entity Type | Organization
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Legal Business Name | TOTAL COMFORT ADULT DAYCARE
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 1706 CAMDEN RD
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City | HOLLY HILL
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State | SC
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Zip | 29059
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Country | US
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Telephone | 803-496-1076
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Fax | 803-496-7926
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Provider Business Mailing Address
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Address Line | 1706 CAMDEN RD
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City | HOLLY HILL
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State | SC
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Zip | 29059
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Country | US
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Telephone | 803-496-1076
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Fax | 803-496-7926
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD BRADSHAW
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Credential |
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Telephone | 803-496-1076
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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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