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General NPI Number Information
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NPI Number | 1194380600
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Entity Type | Organization
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Legal Business Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 154 SALUDA POINTE CT
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City | LEXINGTON
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State | SC
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Zip | 29072
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Country | US
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Telephone | 803-785-3590
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Fax |
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Provider Business Mailing Address
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Address Line | 470 HULON LANE ATTN: VP- REVENUE CYCLE
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City | WEST COLUMBIA
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State | SC
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Zip | 29169
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Country | US
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Telephone | 803-791-2000
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TIFFANY AYERS
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Credential |
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Telephone | 803-935-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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