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General NPI Number Information
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NPI Number | 1841730702
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Entity Type | Organization
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Legal Business Name | ARDENT QUALITY HOME CARE, LLC
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Dates
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Enumeration Date | 02/26/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 141 BUCKLAND DR
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City | ANDERSON
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State | SC
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Zip | 29621-3686
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Country | US
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Telephone | 864-367-4492
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5871
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City | ANDERSON
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State | SC
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Zip | 29623-5871
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DENISHA WHITE
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Credential | RN
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Telephone | 864-367-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 225309
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License Number State | SC
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