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General NPI Number Information
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NPI Number | 1962214403
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Entity Type | Organization
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Legal Business Name | S S PCS LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 210 E ARROWHEAD DR STE 3
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City | CHARLOTTE
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State | NC
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Zip | 28213-6456
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Country | US
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Telephone | 704-352-0467
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 PROSPERITY CHURCH RD # 243
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City | CHARLOTTE
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State | NC
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Zip | 28269-7197
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Country | US
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Telephone | 704-352-0467
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | LATOYA S D SCOTT
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Credential |
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Telephone | 704-352-0467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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