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General NPI Number Information
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NPI Number | 1144603697
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Entity Type | Organization
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Legal Business Name | SC2 HEALTHCARE NAVIGATORS, LLC.
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 331 E MAIN ST STE 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5371
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Country | US
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Telephone | 803-486-2810
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Fax | 888-539-4753
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Provider Business Mailing Address
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Address Line | 331 E. MAIN STREET STE. 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5371
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Country | US
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Telephone | 803-486-2810
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Fax | 888-539-4753
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Authorized Official
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Title or Position | PRESIDENT
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Name | EBONIQUE MELVADEAN MORMAN
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Credential |
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Telephone | 803-486-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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