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General NPI Number Information
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NPI Number | 1922158583
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Entity Type | Organization
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Legal Business Name | BHM OF CHESTER LLC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 570 CENTER STREET
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City | CHESTER
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State | SC
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Zip | 29706
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Country | US
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Telephone | 803-581-7391
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Fax | 803-581-8588
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Provider Business Mailing Address
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Address Line | PO BOX 700
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City | CHESTER
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State | SC
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Zip | 29706-0700
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Country | US
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Telephone | 803-581-7319
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Fax | 803-581-8588
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Authorized Official
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Title or Position | CHEIF OPERATING OFFICER
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Name | MRS. AUDREY T KAZER
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Credential |
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Telephone | 336-706-5740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | CRC1399
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License Number State | SC
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