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General NPI Number Information
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NPI Number | 1881931772
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Entity Type | Organization
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Legal Business Name | DCQ, LLC
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 2191 FIVE CHOP RD
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City | ORANGEBURG
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State | SC
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Zip | 29115-8000
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Country | US
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Telephone | 803-531-7441
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Fax | 877-803-6291
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Provider Business Mailing Address
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Address Line | 180 CAW CAW DR
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City | ORANGEBURG
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State | SC
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Zip | 29118-3212
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Country | US
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Telephone |
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Fax | 877-803-6291
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Authorized Official
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Title or Position | ORGANIZER
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Name | LUICNDA EVANS
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Credential |
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Telephone | 803-531-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | SC
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