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General NPI Number Information
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NPI Number | 1902018484
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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 | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 W. STONE AVENUE
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City | GREENVILLE
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State | SC
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Zip | 29609-5452
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Country | US
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Telephone | 864-233-2125
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Fax | 864-233-2215
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Provider Business Mailing Address
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Address Line | PO BOX 1237
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City | DARLINGTON
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State | SC
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Zip | 29532-3516
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Country | US
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Telephone | 843-383-8579
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Fax | 843-383-8691
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Authorized Official
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Title or Position | CEO
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Name | MS. LESLIE K MCELVEEN
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Credential |
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Telephone | 843-393-4230
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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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