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General NPI Number Information
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NPI Number | 1346534773
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Entity Type | Individual
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Provider Name | AMI S VAIDYA MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 176 WACCAMAW MEDICAL PARK CT
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City | CONWAY
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State | SC
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Zip | 29526-8965
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Country | US
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Telephone | 843-234-6888
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Fax | 843-234-6889
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Provider Business Mailing Address
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Address Line | 300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 88826
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 88826
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 88826
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License Number State | SC
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