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General NPI Number Information
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NPI Number | 1316946106
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Entity Type | Organization
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Legal Business Name | CHARLESTON ENDOSCOPY CENTER
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 1962 CHARLIE HALL BLVD
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City | CHARLESTON
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State | SC
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Zip | 29414-5837
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Country | US
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Telephone | 843-722-8000
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Fax | 843-723-7850
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Provider Business Mailing Address
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Address Line | 2001 2ND AVE STE 101
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7887
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Country | US
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Telephone | 843-793-5182
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Fax | 843-266-5125
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Authorized Official
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Title or Position | BILLING AND CODING SUPERVISOR
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Name | MRS. SHERRY SEARSON
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Credential | CPC, MCS-P
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Telephone | 843-722-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ASF079
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License Number State | SC
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