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General NPI Number Information
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NPI Number | 1851612501
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Entity Type | Organization
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Legal Business Name | ALWAYS THERE HOME HEALTH CARE
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 317 JACKSON ST
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City | BARNWELL
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State | SC
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Zip | 29812-7228
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Country | US
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Telephone | 803-259-5529
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Fax | 803-259-5485
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Provider Business Mailing Address
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Address Line | 317 JACKSON ST PO BOX495
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City | BARNWELL
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State | SC
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Zip | 29812-7228
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Country | US
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Telephone | 803-259-5529
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Fax | 803-259-5485
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LISA GOODWIN
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Credential |
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Telephone | 586-206-3896
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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 | EX0854
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License Number State | SC
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