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General NPI Number Information
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NPI Number | 1144877655
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Entity Type | Organization
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Legal Business Name | 24 ON PHYSICIANS OF SC LLC
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 316 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-1113
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Country | US
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Telephone | 770-274-0482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34905
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City | BELFAST
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State | ME
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Zip | 04915-0627
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Country | US
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Telephone | 770-274-0482
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Fax | 404-806-4334
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Authorized Official
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Title or Position | CEO
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Name | CURTIS EADE
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Credential |
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Telephone | 770-274-0482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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