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General NPI Number Information
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NPI Number | 1902682701
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Entity Type | Organization
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Legal Business Name | PEBBLES HELPING SENIORS LLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 206 SEA ISLAND PKWY
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City | LADYS ISLAND
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State | SC
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Zip | 29907-1526
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Country | US
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Telephone | 843-470-0925
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Fax | 843-887-8231
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | HARDEEVILLE
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State | SC
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Zip | 29927-0024
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Country | US
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Telephone | 843-470-0925
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Fax | 843-887-8231
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Authorized Official
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Title or Position | OWNER
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Name | VIRGINIA SMITH
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Credential |
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Telephone | 843-470-0925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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