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General NPI Number Information
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NPI Number | 1982080081
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Entity Type | Organization
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Legal Business Name | P & B NELSON INC
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 439 CONGAREE RD. #8
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City | GREENVILLE
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State | SC
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Zip | 29607-2868
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Country | US
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Telephone | 864-751-1913
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Fax | 864-751-1964
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Provider Business Mailing Address
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Address Line | 439 CONGAREE RD. #8
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City | GREENVILLE
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State | SC
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Zip | 29607-2868
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Country | US
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Telephone | 864-751-1913
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Fax | 864-751-1964
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM FRANK NELSON
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Credential |
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Telephone | 864-751-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHC - 0092
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License Number State | SC
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