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General NPI Number Information
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NPI Number | 1164473302
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Entity Type | Individual
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Provider Name | MARY K NEUFFER MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 1301 TAYLOR ST SUITE 6J
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City | COLUMBIA
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State | SC
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Zip | 29201-2942
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Country | US
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Telephone | 803-296-2942
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Fax | 803-365-1350
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Provider Business Mailing Address
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Address Line | PO BOX 402145
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City | ATLANTA
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State | GA
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Zip | 30384-2145
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Country | US
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Telephone | 803-296-7303
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Fax | 803-296-7330
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12002
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License Number State | SC
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