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General NPI Number Information
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NPI Number | 1831134998
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Entity Type | Organization
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Legal Business Name | PERSONAL CARE OF SUMTER INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1150 BROAD ST SUITE 8
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City | SUMTER
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State | SC
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Zip | 29150-1997
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Country | US
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Telephone | 803-469-5440
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Fax | 803-469-5449
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Provider Business Mailing Address
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Address Line | 1150 BROAD ST #8 PO BOX 603
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City | SUMTER
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State | SC
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Zip | 29150-1997
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Country | US
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Telephone | 803-469-5440
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Fax | 803-469-5449
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PATRICIA MILLER WILLIAMS
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Credential |
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Telephone | 803-469-5440
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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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