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General NPI Number Information
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NPI Number | 1104159110
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Entity Type | Organization
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Legal Business Name | CONWAY HOSPITAL, INC.
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 2376 CYPRESS CIR, STE 100
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City | CONWAY
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State | SC
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Zip | 29526-8964
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Country | US
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Telephone | 843-234-6888
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Fax | 843-234-6889
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Provider Business Mailing Address
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Address Line | 300 SINGLETON RIDGE RD ATTN: CREDENTIALING
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MARY ELLEN ARTIOLI
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Credential |
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Telephone | 843-234-6946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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