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General NPI Number Information
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NPI Number | 1164447017
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PRODUCTIONS
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1800 MAIN ST STE 100
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City | COLUMBIA
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State | SC
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Zip | 29201-2433
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Country | US
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Telephone | 866-591-1820
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Fax | 866-591-1820
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Provider Business Mailing Address
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Address Line | PO BOX 3548
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City | COLUMBIA
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State | SC
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Zip | 29230-3548
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Country | US
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Telephone | 803-252-6610
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHARLES L AIKEN
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Credential |
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Telephone | 866-591-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | SC
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