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General NPI Number Information
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NPI Number | 1174604201
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH-MIDLANDS
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1301 TAYLOR ST STE 3Q
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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 | 803-296-3070
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Fax | 803-296-3040
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 803-296-2548
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Fax |
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Authorized Official
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Title or Position | SVP FINANCE/ENTERPRISE CONTRACTING
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Name | POLLY H MILLER
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Credential |
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Telephone | 864-522-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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