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General NPI Number Information
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NPI Number | 1891376901
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARE LLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 117 TOM LEWIS RD
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City | TYLERTOWN
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State | MS
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Zip | 39667-5613
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Country | US
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Telephone | 228-546-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 117 TOM LEWIS RD
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City | TYLERTOWN
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State | MS
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Zip | 39667-5613
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Country | US
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Telephone | 228-546-2545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYLIA HARVEY
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Credential |
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Telephone | 228-546-2545
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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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