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General NPI Number Information
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NPI Number | 1801265194
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Entity Type | Organization
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Legal Business Name | INTUITIVE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 2808 BRIAR CIR
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City | ROCK HILL
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State | SC
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Zip | 29732-9454
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Country | US
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Telephone | 704-231-0367
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Fax | 844-750-0692
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Provider Business Mailing Address
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Address Line | PO BOX 36184
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City | ROCK HILL
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State | SC
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Zip | 29732-0502
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Country | US
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Telephone | 704-231-0367
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Fax | 844-750-0692
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. DAMARIS N MCCLAIN
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Credential | FNP-BC
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Telephone | 704-231-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4289
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License Number State | SC
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