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General NPI Number Information
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NPI Number | 1811422918
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Entity Type | Organization
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Legal Business Name | LUVLY ANGELS LLC
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 1527 SAM RITTENBERG BLVD SUITE 202B
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City | CHARLESTON
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State | SC
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Zip | 29407-4190
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Country | US
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Telephone | 843-940-5154
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 GHANA ST
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-8100
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Country | US
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Telephone | 843-489-5831
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANAUWIA RENEE RIVERS
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Credential |
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Telephone | 843-940-5154
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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 | 125602
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 125602
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License Number State | SC
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