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General NPI Number Information
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NPI Number | 1023748928
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Entity Type | Organization
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Legal Business Name | GREENVILLE HEALTH CORPORATION
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1333 TAYLOR ST STE A
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City | COLUMBIA
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State | SC
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Zip | 29201-2923
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Country | US
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Telephone | 864-522-3500
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Fax | 864-522-3549
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Provider Business Mailing Address
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Address Line | 1009 GROVE RD BLDG C
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City | GREENVILLE
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State | SC
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Zip | 29605-4600
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Country | US
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Telephone | 864-522-3500
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Fax | 864-522-3500
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Authorized Official
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Title or Position | DIR-ENROLLMENT AND CVO
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Name | KRISTI ANN LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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