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General NPI Number Information
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NPI Number | 1013822477
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Entity Type | Organization
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Legal Business Name | DANIEL ISLAND EMERGENCY PHYSICIANS, LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 1630 BEECH HILL ROAD
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City | SUMMERSVILLE
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State | SC
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Zip | 29485
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Country | US
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Telephone | 854-287-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 43008
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City | BELFAST
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State | ME
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Zip | 04915-1282
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Country | US
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Telephone | 770-874-5400
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Fax |
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Authorized Official
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Title or Position | EVP, CREDENTIALING
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Name | KIM H LARSEN
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Credential |
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Telephone | 770-874-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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