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General NPI Number Information
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NPI Number | 1194896647
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Entity Type | Organization
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Legal Business Name | ADDICTIONOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 3150 HIGHWAY 153
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City | PIEDMONT
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State | SC
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Zip | 29673-9498
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Country | US
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Telephone | 864-295-1280
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Fax | 864-295-1294
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Provider Business Mailing Address
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Address Line | PO BOX 51539
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City | PIEDMONT
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State | SC
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Zip | 29673-2047
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Country | US
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Telephone | 864-295-1280
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Fax | 864-295-1294
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM M SCOTT III
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Credential | MD
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Telephone | 864-295-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SC8878
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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