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General NPI Number Information
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NPI Number | 1902554678
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Entity Type | Organization
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Legal Business Name | A GREATER HOPE HEALTHCARE
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Dates
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Enumeration Date | 03/12/2022
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 919 TRUE ST UNIT A4
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City | COLUMBIA
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State | SC
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Zip | 29209-1662
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Country | US
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Telephone | 803-830-0529
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Fax |
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Provider Business Mailing Address
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Address Line | 919 TRUE ST UNIT A4
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City | COLUMBIA
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State | SC
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Zip | 29209-1662
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Country | US
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Telephone | 803-830-0529
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MALIKI PATEL
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Credential |
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Telephone | 803-830-0529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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