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General NPI Number Information
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NPI Number | 1225222680
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Entity Type | Individual
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Provider Name | MARCIE M ALISANGCO DO
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 146 E HOSPITAL DR STE 550
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4843
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Country | US
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Telephone | 803-936-7140
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Fax | 803-936-7412
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Provider Business Mailing Address
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Address Line | 1350 WALTON WAY
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City | AUGUSTA
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State | GA
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Zip | 30901-2612
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Country | US
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Telephone | 706-774-8326
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Fax |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 92696
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 063756
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 63756
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License Number State | GA
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