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General NPI Number Information
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NPI Number | 1356362784
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Entity Type | Organization
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Legal Business Name | ABS/NEW HOPE
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 MIDLAND PKWY
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8104
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Country | US
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Telephone | 843-851-5015
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Fax | 843-851-5029
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Provider Business Mailing Address
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Address Line | 302A MIDLAND PKWY
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8102
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Country | US
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Telephone | 843-851-5015
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Fax | 843-851-5029
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Authorized Official
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Title or Position | IT/DEVELOPER/X12
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Name | MS. MARIANN SAVILLA
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Credential | DDG
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Telephone | 843-762-6632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | RTC-017
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License Number State | SC
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