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General NPI Number Information
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NPI Number | 1255526364
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Entity Type | Organization
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Legal Business Name | LANDRUM FAMILY HEALTHCARE CENTER, PA
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 108 W RUTHERFORD ST
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City | LANDRUM
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State | SC
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Zip | 29356-1526
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Country | US
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Telephone | 864-457-2363
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Fax | 864-457-2736
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Provider Business Mailing Address
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Address Line | 108 W RUTHERFORD ST
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City | LANDRUM
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State | SC
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Zip | 29356-1526
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Country | US
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Telephone | 864-457-2363
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Fax | 864-457-2736
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. LINDA M WOODFIN
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Credential | FNP
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Telephone | 864-457-2363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 472140
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License Number State | SC
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