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General NPI Number Information
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NPI Number | 1942733910
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LIFE HOME HEALTH CARE
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 259 ALELIA LN
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City | COLUMBIA
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State | SC
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Zip | 29229-9577
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Country | US
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Telephone | 404-667-5073
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Fax |
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Provider Business Mailing Address
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Address Line | 259 ALELIA LN
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City | COLUMBIA
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State | SC
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Zip | 29229-9577
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Country | US
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Telephone | 404-667-5073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEEK BROWN
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Credential | MAH
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Telephone | 404-667-5073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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