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General NPI Number Information
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NPI Number | 1285633289
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA CANCER SPECIALISTS
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 45 HOSPITAL CENTER CMNS
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2837
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Country | US
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Telephone | 843-689-2895
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Fax | 843-689-9270
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Provider Business Mailing Address
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Address Line | 45 HOSPITAL CENTER CMNS
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2837
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Country | US
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Telephone | 843-689-2895
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Fax | 843-689-9270
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY W THOMAS
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Credential | MD
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Telephone | 843-689-2895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 14194
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License Number State | SC
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