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General NPI Number Information
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NPI Number | 1922287192
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Entity Type | Organization
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Legal Business Name | T.I.G.A., INC. DBA COMFORT KEEPERS 429
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 511 WEST AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3708
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Country | US
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Telephone | 803-279-7100
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Fax | 803-279-7107
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Provider Business Mailing Address
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Address Line | 511 WEST AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3708
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Country | US
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Telephone | 803-279-7100
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Fax | 803-279-7107
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANET BAUMGARDNER
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Credential | LPN
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Telephone | 803-279-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | SC
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