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General NPI Number Information
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NPI Number | 1073676565
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Entity Type | Organization
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Legal Business Name | LOUVENIA D BARKSDALE SICKLE CELL FOUNDATION
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 645 S CHURCH ST
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City | SPARTANBURG
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State | SC
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Zip | 29306-5301
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Country | US
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Telephone | 864-582-9420
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Fax | 864-582-9421
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 191
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City | SPARTANBURG
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State | SC
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Zip | 29304
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Country | US
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Telephone | 864-582-9420
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Fax | 894-582-9421
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Authorized Official
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Title or Position | CFO
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Name | LENNETTA GRAY BREWTON
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Credential |
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Telephone | 864-582-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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