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General NPI Number Information
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NPI Number | 1194850669
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Entity Type | Organization
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Legal Business Name | ANGELA T MCGEE M D
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 169 HALL ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1523
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Country | US
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Telephone | 864-542-9966
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Fax | 864-542-9977
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Provider Business Mailing Address
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Address Line | 169 HALL ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1523
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Country | US
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Telephone | 864-542-9966
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Fax | 864-542-9977
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. THERION LANGFORD MOORE
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Credential | PHD
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Telephone | 864-542-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 23635
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License Number State | SC
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