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General NPI Number Information
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NPI Number | 1003970120
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Entity Type | Organization
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Legal Business Name | MUSC HOLLINGS CANCER CENTER
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 171 ASHLEY AVE SUITE 124 HOLLINGS CANCER CENTER
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-8284
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Fax |
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Provider Business Mailing Address
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Address Line | 171 ASHLEY AVE SUITE 124 HOLLINGS CANCER CENTER
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-8284
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANDREW S. KRAFT
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Credential | M.D.
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Telephone | 843-792-8284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | AL27410
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License Number State | SC
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