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General NPI Number Information
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NPI Number | 1194720409
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Entity Type | Individual
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Provider Name | CATHERINE LOWRIE FERGUSON MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 900 W FARIS RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4255
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Country | US
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Telephone | 864-679-3900
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Fax | 864-679-3901
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Provider Business Mailing Address
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Address Line | 3 BUTTERNUT DR STE B
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City | GREENVILLE
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State | SC
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Zip | 29605-4653
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Country | US
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Telephone | 864-298-2826
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Fax | 864-672-7764
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 20756
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License Number State | SC
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