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General NPI Number Information
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NPI Number | 1265395891
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Entity Type | Organization
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Legal Business Name | PODARIS GROUP LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1537 BEN SAWYER BLVD
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-5533
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Country | US
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Telephone | 843-353-3241
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Fax | 954-708-1904
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Provider Business Mailing Address
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Address Line | 711 PALM BLVD
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City | ISLE OF PALMS
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State | SC
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Zip | 29451-2151
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Country | US
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Telephone | 843-276-4195
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Fax | 954-708-1904
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Authorized Official
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Title or Position | OWNER
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Name | JOHN NESBITT
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Credential |
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Telephone | 843-276-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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