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General NPI Number Information
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NPI Number | 1245193663
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Entity Type | Organization
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Legal Business Name | GREENVILLE SKIN LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 306 SC-14
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City | SIMPSONVILLE
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State | SC
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Zip | 29681
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Country | US
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Telephone | 913-710-7325
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Fax |
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Provider Business Mailing Address
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Address Line | 306 SC-14
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City | SIMPSONVILLE
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State | SC
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Zip | 29681
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Country | US
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Telephone | 913-710-7325
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | INDIA SARAH ROBINSON-PIROTTE
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Credential | MD, MSCR
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Telephone | 803-729-8851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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