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General NPI Number Information
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NPI Number | 1871995902
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Entity Type | Organization
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Legal Business Name | KOGER HOME CARE
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1625 CHARLESTON HWY SUITE C 2ND FLOOR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5049
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Country | US
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Telephone | 803-794-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 CHARLESTON HWY SUITE C 2ND FLOOR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5049
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Country | US
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Telephone | 803-794-9740
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HOME CARE OPERATIONS
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Name | MRS. MAIDIS LOUISE KOGER-BOYD
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Credential | MHA
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Telephone | 803-794-9740
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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 |
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License Number State |
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