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General NPI Number Information
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NPI Number | 1346902475
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA ELITE PHYSICIANS
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 201 CAUGHMAN FARM LN STE 630
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City | LEXINGTON
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State | SC
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Zip | 29072-7342
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Country | US
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Telephone | 803-771-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 201 CAUGHMAN FARM LN
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City | LEXINGTON
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State | SC
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Zip | 29072-7342
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Country | US
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Telephone | 803-771-1993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER COOPER
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Credential | MD
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Telephone | 803-629-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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