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General NPI Number Information
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NPI Number | 1073354809
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Entity Type | Organization
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Legal Business Name | ANMED HEALTH FAMILY MEDICINE RESIDENCY
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 2000 E GREENVILLE ST STE 3700
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City | ANDERSON
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State | SC
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Zip | 29621-1725
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Country | US
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Telephone | 864-512-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 E GREENVILLE ST STE 3700
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City | ANDERSON
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State | SC
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Zip | 29621-1725
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Country | US
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Telephone | 864-512-1475
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. IRENE KAKOURAS
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Credential | DO
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Telephone | 864-704-6029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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