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General NPI Number Information
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NPI Number | 1992448625
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Entity Type | Organization
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Legal Business Name | IN HIS HONOR LLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 4186 OLD YORK RD
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City | ROCK HILL
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State | SC
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Zip | 29732-9133
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Country | US
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Telephone | 803-817-1901
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Fax | 803-817-1902
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Provider Business Mailing Address
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Address Line | 3518 OLD REDBUD DR
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City | GASTONIA
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State | NC
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Zip | 28056-9284
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Country | US
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Telephone | 704-864-5500
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Fax | 704-864-5565
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROY B GOFORTH
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Credential |
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Telephone | 704-578-5446
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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 |
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License Number State |
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