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General NPI Number Information
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NPI Number | 1366677106
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA HEART CENTER PA
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 595 NEWBERRY HWY
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City | SALUDA
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State | SC
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Zip | 29138-7808
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Country | US
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Telephone | 864-445-9939
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Fax | 864-445-3956
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | COLUMBIA
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State | SC
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Zip | 29202-0099
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Country | US
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Telephone | 803-254-3278
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Fax | 803-255-2715
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. KATHY KOENIG
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Credential |
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Telephone | 803-254-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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