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General NPI Number Information
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NPI Number | 1942241880
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Entity Type | Organization
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Legal Business Name | SC HOME RX
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3685 LEAPHART RD STE A
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3067
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Country | US
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Telephone | 803-454-0194
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Fax | 803-451-7128
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Provider Business Mailing Address
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Address Line | 3685 LEAPHART RD STE A
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3067
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Country | US
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Telephone | 803-454-0194
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Fax | 803-451-7128
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Authorized Official
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Title or Position | CPHT BILLING SPECIALIST
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Name | CATHY SUE DAVIS
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Credential |
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Telephone | 803-739-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 50007457
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License Number State | SC
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