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General NPI Number Information
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NPI Number | 1952810434
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Entity Type | Organization
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Legal Business Name | SUPERIOR NURSING SOLUTIONS
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 1315 W MARTINTOWN RD STE A-5
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-7631
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Country | US
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Telephone | 803-279-2770
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Fax | 803-279-2770
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Provider Business Mailing Address
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Address Line | 1315 W MARTINTOWN RD STE A-5
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-7631
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Country | US
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Telephone | 803-279-2770
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Fax | 803-279-2770
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALLEN MICHAEL DUNN
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Credential |
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Telephone | 706-831-9513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | SC
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