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General NPI Number Information
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NPI Number | 1821418849
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Entity Type | Organization
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Legal Business Name | RCC VENTURES
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 7505 WATERS AVE STE F1
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City | SAVANNAH
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State | GA
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Zip | 31406-3822
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Country | US
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Telephone | 912-355-0099
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Fax | 912-355-0181
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Provider Business Mailing Address
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Address Line | 7505 WATERS AVE STE F1
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City | SAVANNAH
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State | GA
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Zip | 31406-3822
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Country | US
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Telephone | 912-355-0099
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Fax | 912-355-0181
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL CARSON
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Credential |
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Telephone | 912-355-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 025-R-0033
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License Number State | GA
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