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General NPI Number Information
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NPI Number | 1942162599
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Entity Type | Organization
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Legal Business Name | ENTYRE CARE SOUTH CAROLINA LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 677 KING ST FL 3
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City | CHARLESTON
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State | SC
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Zip | 29403-7126
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Country | US
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Telephone | 843-751-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 101 FEDERAL ST STE 2400
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City | BOSTON
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State | MA
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Zip | 02110-1817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. BENEDIKT REIGER
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Credential |
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Telephone | 843-751-4650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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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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