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General NPI Number Information
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NPI Number | 1326287434
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY ORTHOPAEDICS ASSOCIATES PA
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 2880 TRICOM ST
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City | N CHARLESTON
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State | SC
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Zip | 29406-9171
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Country | US
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Telephone | 843-797-5050
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Fax | 843-824-5991
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Provider Business Mailing Address
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Address Line | 2880 TRICOM ST
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City | N CHARLESTON
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State | SC
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Zip | 29406-9171
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Country | US
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Telephone | 843-797-5050
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Fax | 843-824-5991
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | MARILYN SIZEMORE
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Credential |
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Telephone | 843-266-4873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 199702649NC
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License Number State | SC
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