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General NPI Number Information
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NPI Number | 1306167671
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Entity Type | Organization
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Legal Business Name | MARION PHYSICIAN SERVICES LLC
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1205 N MAIN ST
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City | MARION
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State | SC
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Zip | 29571-2008
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Country | US
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Telephone | 843-423-0760
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Fax | 843-423-8138
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Provider Business Mailing Address
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Address Line | 4000 MERIDIAN BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-6325
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Country | US
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Telephone | 615-778-8076
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Fax | 615-628-6877
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL SWAW
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Credential |
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Telephone | 615-778-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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