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General NPI Number Information
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NPI Number | 1275573529
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Entity Type | Organization
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Legal Business Name | CAROLINA HEALTH CARE, P.A.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 506 EAST CHEVES STREET
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City | FLORENCE
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State | SC
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Zip | 29506-2616
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Country | US
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Telephone | 843-413-3100
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Fax | 843-413-3197
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Provider Business Mailing Address
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Address Line | 506 EAST CHEVES STREET P. O. BOX 1905
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City | FLORENCE
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State | SC
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Zip | 29503-1905
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Country | US
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Telephone | 843-413-3100
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Fax | 843-413-3197
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WILLIAM REMMES
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Credential |
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Telephone | 843-413-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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