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General NPI Number Information
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NPI Number | 1174345318
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Entity Type | Organization
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Legal Business Name | CHARLESTON-AMG SPECIALTY HOSPITAL, INC.
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1200 HOSPITAL DR
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City | MT PLEASANT
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State | SC
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Zip | 29464-3251
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Country | US
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Telephone | 337-269-9566
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LA RUE FRANCE STE 500
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City | LAFAYETTE
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State | LA
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Zip | 70508-3144
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Country | US
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Telephone | 337-269-9566
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Fax | 337-269-9823
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Authorized Official
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Title or Position | CFO
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Name | MS. JESSICA L MCGEE
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Credential |
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Telephone | 337-269-9566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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