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General NPI Number Information
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NPI Number | 1366496937
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Entity Type | Organization
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Legal Business Name | TRIDENT MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-847-7000
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Fax | 843-847-4086
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Provider Business Mailing Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-847-7000
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Fax | 843-847-4086
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Authorized Official
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Title or Position | CFO
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Name | KEVIN MCKEOWN
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Credential |
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Telephone | 843-847-4254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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