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NPI 1023091923

NPI 1023091923 : CHARLES WILLIAM MCGAHEE DDS : AIKEN, SC

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General NPI Number Information
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    NPI Number           |    1023091923
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES WILLIAM MCGAHEE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/23/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    120 AUGUSTA RD 
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29801-6322
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    Country              |    US
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    Telephone            |    803-643-9595
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    Fax                  |    803-648-0133
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Provider Business Mailing Address
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    Address Line         |    PO BOX 497 
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29802-0497
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    Country              |    US
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    Telephone            |    803-643-9595
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    Fax                  |    803-648-0133
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    SC 1438
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    License Number State |    SC
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