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General NPI Number Information
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NPI Number | 1881812220
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Entity Type | Organization
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Legal Business Name | NOC HOME CARE, LLC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 112 BLUE STREET
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City | DARLINGTON
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State | SC
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Zip | 29532
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Country | US
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Telephone | 843-383-8921
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Fax | 843-944-0790
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Provider Business Mailing Address
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Address Line | 112 BLUE ST
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City | DARLINGTON
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State | SC
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Zip | 29532-2624
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Country | US
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Telephone | 843-383-8921
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Fax | 843-944-0790
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM SELF
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Credential |
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Telephone | 843-383-8921
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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 |
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License Number State |
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