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General NPI Number Information
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NPI Number | 1285673103
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Entity Type | Organization
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Legal Business Name | E WASHINGTON MEDICAL SERVICES PC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2525 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2825
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Country | US
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Telephone | 803-276-4860
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Fax | 803-276-2812
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Provider Business Mailing Address
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Address Line | 1901 HARRINGTON ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2825
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Country | US
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Telephone | 803-537-1118
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD MARTIN WASHINGTON
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Credential | MD
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Telephone | 803-537-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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