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General NPI Number Information
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NPI Number | 1912304718
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Entity Type | Organization
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Legal Business Name | ALL HEARTS HOMECARE, LLC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 1200 WOODRUFF RD SUITE A3
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City | GREENVILLE
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State | SC
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Zip | 29607-5730
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Country | US
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Telephone | 864-213-2146
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Fax | 864-297-2515
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | MAULDIN
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State | SC
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Zip | 29662-0623
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Country | US
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Telephone | 864-213-2146
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Fax | 864-297-2515
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Authorized Official
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Title or Position | PRESIDENT/CEO/OWNER
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Name | MRS. NEZZIE JETER
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Credential |
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Telephone | 864-213-2146
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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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