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General NPI Number Information
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NPI Number | 1295984698
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY OF THE CAROLINAS, P.A.
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 578 LONE TREE DR SUITE 102
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-8170
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Country | US
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Telephone | 843-881-3881
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Fax | 843-881-3814
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Provider Business Mailing Address
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Address Line | 578 LONE TREE DR SUITE 102
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-8170
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Country | US
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Telephone | 843-881-3881
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Fax | 843-881-3814
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAM KALUS
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Credential | M.D.
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Telephone | 843-881-3881
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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 | 15090
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License Number State | SC
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