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General NPI Number Information
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NPI Number | 1134454184
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Entity Type | Organization
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Legal Business Name | PALMETTO MEDICAL CENTER
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 60 MAIN ST SUITE G
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-6602
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Country | US
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Telephone | 843-342-3333
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Fax | 843-342-3367
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Provider Business Mailing Address
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Address Line | 20 TOWNE DR SUITE 398
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City | BLUFFTON
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State | SC
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Zip | 29910-4204
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Country | US
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Telephone | 843-342-3333
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Fax | 843-342-3367
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH HAVEN
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Credential | DO
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Telephone | 843-342-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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