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General NPI Number Information
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NPI Number | 1922942903
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Entity Type | Organization
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Legal Business Name | CIRCLE OF CARE HEALTHCARE AGENCY
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 211 HERITAGE BLVD STE 206
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City | FORT MILL
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State | SC
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Zip | 29715-6447
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Country | US
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Telephone | 980-202-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 211 HERITAGE BLVD STE 206
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City | FORT MILL
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State | SC
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Zip | 29715-6447
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Country | US
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Telephone | 980-202-8055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY NICOLE CAREY
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Credential |
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Telephone | 980-202-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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