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General NPI Number Information
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NPI Number | 1942877311
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Entity Type | Organization
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Legal Business Name | HEARTS OF HOPE COMFORT CARE LLC
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 3575 RUTHERFORD ROAD EXT STE A
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City | TAYLORS
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State | SC
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Zip | 29687-2168
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Country | US
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Telephone | 864-346-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 RUTHERFORD ROAD EXT STE A
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City | TAYLORS
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State | SC
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Zip | 29687-2168
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Country | US
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Telephone | 864-346-6669
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | CICELY SIOBON SULLIVAN
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Credential | LPN
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Telephone | 864-243-8235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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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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