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General NPI Number Information
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NPI Number | 1255801973
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Entity Type | Organization
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Legal Business Name | SUNSPIRE HEALTH HILTON HEAD LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 11 ARLEY WAY STE 101
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City | BLUFFTON
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State | SC
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Zip | 29910-4883
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Country | US
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Telephone | 843-473-3350
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Fax | 843-473-3333
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Provider Business Mailing Address
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Address Line | 19820 N 7TH ST STE 205
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City | PHOENIX
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State | AZ
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Zip | 85024-1694
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Country | US
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Telephone | 928-684-4039
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Fax | 623-581-7624
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Authorized Official
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Title or Position | PARTNER
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Name | TUVIA FRIEDMAN
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Credential |
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Telephone | 347-622-3605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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