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General NPI Number Information
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NPI Number | 1316889298
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Entity Type | Organization
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Legal Business Name | KERSHAW COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 208 KING ST
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City | CAMDEN
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State | SC
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Zip | 29020-4720
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Country | US
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Telephone | 803-432-6902
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Fax |
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Provider Business Mailing Address
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Address Line | 208 KING ST
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City | CAMDEN
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State | SC
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Zip | 29020-4720
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Country | US
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Telephone | 803-432-6902
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARA HORTON JONES
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Credential |
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Telephone | 803-432-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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