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General NPI Number Information
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NPI Number | 1013321744
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Entity Type | Organization
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Legal Business Name | MEDICAL UNIVERSITY OF SC
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 67 PRESIDENT ST
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City | CHARLESTON
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State | SC
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Zip | 29425
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Country | US
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Telephone | 843-792-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 67 PRESIDENT ST
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City | CHARLESTON
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State | SC
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Zip | 29425
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Country | US
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Telephone | 843-792-0028
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN, DEPT OF PSYCHIA
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Name | DR. LEAH DANIELLE FRYML
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Credential | MD
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Telephone | 843-900-0566
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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 | LL37174
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | LL37174
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 37174
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License Number State | SC
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