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General NPI Number Information
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NPI Number | 1326167537
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Entity Type | Organization
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Legal Business Name | THOMSON STUDENT HEALTH CENTER
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | THOMSON STUDENT HEALTH CTR USC
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City | COLUMBIA
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State | SC
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Zip | 29208-0001
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Country | US
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Telephone | 803-777-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 DEVINE STREET THOMSON STUDENT HEALTH CENTER
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City | COLUMBIA
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State | SC
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Zip | 29208
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Country | US
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Telephone | 803-777-3957
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Fax | 803-777-9063
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DEBORAH BECK
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Credential | ED.D
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Telephone | 803-777-3957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 36498
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License Number State | SC
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