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General NPI Number Information
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NPI Number | 1811543663
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Entity Type | Organization
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Legal Business Name | CAROLINA REHABILITATION CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 5877 RYANS BLUFF RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-5210
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Country | US
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Telephone | 843-760-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 5877 RYANS BLUFF RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-5210
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Country | US
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Telephone | 843-760-2635
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Fax |
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Authorized Official
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Title or Position | CERTIFIED REHABILITATION COUNSELOR
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Name | NANCY COOK
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Credential | LPC, CRC
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Telephone | 843-760-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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