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General NPI Number Information
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NPI Number | 1104997261
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Entity Type | Organization
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Legal Business Name | EDMUND RHETT, JR., M.D., P.A.
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1300 HOSPITAL DR STE 150
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City | MT PLEASANT
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State | SC
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Zip | 29464-3243
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Country | US
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Telephone | 843-375-2210
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Fax | 843-375-2214
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Provider Business Mailing Address
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Address Line | 1300 HOSPITAL DR STE 150
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City | MT PLEASANT
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State | SC
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Zip | 29464-3243
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Country | US
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Telephone | 843-375-2210
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Fax | 843-375-2214
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDMUND RHETT JR.
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Credential | M.D.
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Telephone | 843-375-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 8257
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License Number State | SC
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